Individual
DR. NATHAN KYLE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6429
Mailing address
6143 S FULTON AVE, TULSA, OK 74136-2018
(918) 633-0266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10946
AZ
225100000X
Physical Therapist
Primary
4897
OK
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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