NPI 1114130861

Kim Anne Haslett, PTA

Practitioner Physical Therapy Assistant Broken Arrow, OK

Practice location

Address: 3000 South Elm Place, Broken Arrow, OK 74012
Phone: (918) 451-5143
Fax: (918) 451-5287
Mailing address: 11664 South 252 East Ave, Broken Arrow, OK 74014

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence TA 591 (OK)

Other Physical Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1114130861
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.