Michael Raymond Childress
Physical Therapy Assistant
2408 E 81st St Ste 300
Tulsa
, Oklahoma 74137-4200
Michael Raymond Childress
Physical Therapy Assistant
2408 E 81st St Ste 300
Tulsa
, Oklahoma 74137-4200
(918) 477-5040
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Michael Raymond Childress
- 2408 E 81st St Ste 300
- Tulsa, OK
- Zip : 74137-4200
- Fax : (918) 477-5040
- Phone : (918) 477-5053
Second Address
- Michael Raymond Childress
- 2408 E 81st St Ste 300
- Tulsa, OK
- Zip : 74137-4200
- Fax : (918) 477-5040
- Phone : (918) 477-5053
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 770 | OK |
National Provider Identifier
| NPI | 1003019167 |
|---|---|
| Provider Name | Michael Raymond Childress |
| First Address | Tulsa, OK 74137-4200 |
| Second Address | Tulsa, OK 74137-4200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2007 |
| Last Update Date | 08/07/2007 |
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.