Individual
KELLI RENEE PRIDEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3701 M.L.K. JR BLVD, TULSA, OK 74106
(918) 425-3583
Mailing address
419 S 276TH EAST AVE, CATOOSA, OK 74015-5535
(918) 899-8391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
03/03/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us