Individual
KELLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6585 S YALE AVE, SUITE 200, TULSA, OK 74136-8384
(918) 481-2797
(918) 481-7611
Mailing address
6585 S YALE AVE, SUITE 200, TULSA, OK 74136-8384
(918) 481-2797
(918) 481-7611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4130
OK
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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