Individual
JACE EVAN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-1212
(918) 485-1335
Mailing address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-1212
(918) 485-1335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4722
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200513580A
—
OK
Enumeration date
08/08/2013
Last updated
01/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us