Individual
KIMBERLY SHAY NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5980 E 144TH ST N, COLLINSVILLE, OK 74021-7428
(918) 697-5056
Mailing address
5980 E 144TH ST N, COLLINSVILLE, OK 74021-7428
(918) 697-5056
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5764
OK
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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