Individual
KYLE REMINGTON DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
536 N MAIN ST, MUSKOGEE, OK 74401-6345
(918) 683-8555
(918) 683-8552
Mailing address
2234-B W HOUSTON STREET, BROKEN ARROW, OK 74012-3519
(918) 259-1888
(918) 251-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4236
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200567580A
—
OK
Enumeration date
12/15/2014
Last updated
01/29/2015
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