Organization
PANHANDLE PHYSICAL THERAPY & WELLNESS, LLC
Active
Other names
Physical Therapy on the Move
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY BEAU RAPP DPT (PHYSICAL THERAPIST)
(918) 346-0107
Entity
Organization
Contact information
Practice address
122 E GLAYDAS AVE, HOOKER, OK 73945-7394
(580) 652-1111
(580) 652-1111
Mailing address
102 S. BROADWAY, HOOKER, OK 73945
(580) 652-1111
(580) 652-1111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200118240A
—
OK
01
—
OK400025
MEDICARE PTAN
OK
Enumeration date
08/21/2014
Last updated
04/12/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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