Individual
DR. JONATHAN RILEY NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1500 W I 240 SERVICE RD STE A14, OKLAHOMA CITY, OK 73159-8203
(405) 632-1002
Mailing address
3016 CHADWICKE DR, EDMOND, OK 73013-7861
(817) 999-5741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1242457
TX
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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