Individual
KRISTIN WAHPEPAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-5850
Mailing address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-5850
(405) 701-7914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4676
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4676
LICENSE NUMBER
OK
Enumeration date
08/09/2013
Last updated
03/25/2026
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