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Individual

SHANNON BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
DPT

Contact information

Practice address
8802 E 71ST ST, TULSA, OK 74133-3186
(918) 505-6940
Mailing address
1427 S DELAWARE PL, TULSA, OK 74104-4837

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6506
OK

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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