Individual
KACY LEE TIBBETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1507 BROOKWOOD AVE, DUNCAN, OK 73533-1356
(580) 252-9159
(580) 255-2158
Mailing address
700 NW 7TH ST, SUITE 302, OKLAHOMA CITY, OK 73102-1212
(405) 609-3675
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4596
OK
Other
Enumeration date
12/21/2012
Last updated
01/08/2014
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