Individual
JASON WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1726 S DIVISION ST, SUITE A, GUTHRIE, OK 73044-6019
(405) 285-8845
(405) 285-8848
Mailing address
825 N BROADWAY AVE, SUITE 400, OKLAHOMA CITY, OK 73102-6039
(405) 609-3670
(405) 605-8638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3814
LICENSE #
OK
Enumeration date
08/30/2006
Last updated
12/08/2009
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