Individual
MS. RHONDA LEA MILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
1310 E 15TH ST, TULSA, OK 74120-5804
(918) 599-0440
Mailing address
1310 E 15TH ST, TULSA, OK 74120-5804
(918) 599-0440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2960
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200079130A
MEDICAID LEGACY
—
05
—
200079130A
—
OK
01
—
243605203
MEDICARE LEGACY
—
01
—
7201672
AETNA LEGACY
—
01
—
P00326999
MEDICARE RAILROAD
—
Enumeration date
08/11/2006
Last updated
12/22/2016
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