Individual
KENLEE JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
117 N MAIN ST, SAND SPRINGS, OK 74063-7602
(918) 504-8669
(918) 512-4773
Mailing address
117 N MAIN ST, SAND SPRINGS, OK 74063-7602
(918) 504-8669
(918) 512-4773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3924
OK
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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