Individual
JENA KAYE FANKHOUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201-B EAST TEXAS STREET, STRATFORD, TX 79084
(806) 366-7789
(580) 297-9223
Mailing address
PO BOX 554, GOODWELL, OK 73939-0554
(580) 651-3025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2723
OK
225200000X
Physical Therapy Assistant
Primary
A5242
MD
Other
Enumeration date
09/03/2019
Last updated
02/23/2026
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