Individual
KODY HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9309 E RENO AVE, MIDWEST CITY, OK 73130-3321
(405) 732-3353
(405) 732-3397
Mailing address
9309 E RENO AVE, MIDWEST CITY, OK 73130-3321
(405) 732-3353
(405) 732-3397
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6029
OK
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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