Individual
RYAN STAEBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3547 S TOLEDO AVE, TULSA, OK 74135-1728
(918) 346-1700
Mailing address
3547 S TOLEDO AVE, TULSA, OK 74135-1728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
051718
NY
225100000X
Physical Therapist
070027969
IL
225100000X
Physical Therapist
305390
CA
225100000X
Physical Therapist
Primary
5464
OK
225100000X
Physical Therapist
PT031889
PA
Other
Enumeration date
12/05/2019
Last updated
06/27/2024
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