Individual
TIERRA LASHAWN FULTZ TAKYI-MICAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
309 SW 59TH ST STE 305, OKLAHOMA CITY, OK 73109-8324
(405) 355-3239
Mailing address
5009 AVION CT, OKLAHOMA CITY, OK 73135-5090
(918) 809-4228
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5789
OK
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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