Individual
SHANNON GAYE KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 S SHERIDAN RD STE 26A, TULSA, OK 74145-7509
(918) 277-0988
Mailing address
5321 S SHERIDAN RD, TULSA, OK 74145-7532
(918) 277-0988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1716
OK
Other
Enumeration date
02/21/2021
Last updated
02/21/2021
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