Dr. Kyle Womack
Physical Therapist Physical Therapist - Sports
1501 N Broadway Ave
Oklahoma City
, Oklahoma 73103-4609
Dr. Kyle Womack
Physical Therapist Physical Therapist - Sports
1501 N Broadway Ave
Oklahoma City
, Oklahoma 73103-4609
(405) 641-6263
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Dr. Kyle Womack
- 1213 Sw 18th St
- Oklahoma City, OK
- Zip : 73108-7217
- Phone : (405) 641-6263
Second Address
- Dr. Kyle Womack
- 1501 N Broadway Ave
- Oklahoma City, OK
- Zip : 73103-4609
- Phone : (405) 633-0193
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT4020 | HI |
| Y | 2251S0007X | Physical Therapist - Sports | 4951 | OK |
National Provider Identifier
| NPI | 1487036844 |
|---|---|
| Provider Name | Dr. Kyle Womack |
| First Address | Oklahoma City, OK 73108-7217 |
| Second Address | Oklahoma City, OK 73103-4609 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2015 |
| Last Update Date | 18/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0 | N/A (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.