Organization
LIFESPLAN PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL INEZ JONES PT (OWNER)
(580) 522-1245
Entity
Organization
Contact information
Practice address
121 NW 6TH ST, GUYMON, OK 73942-4206
(580) 522-1245
Mailing address
PO BOX 302, GUYMON, OK 73942-0302
(580) 522-1245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100636070C
—
OK
Enumeration date
01/04/2023
Last updated
02/28/2023
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