Individual
KYLA MARLENE SUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
107335 S 4559 RD, VIAN, OK 74962-9467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3988
OK
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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