Individual
KATIE TURNER BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
536 E 6TH ST, OKMULGEE, OK 74447-5520
(918) 756-6060
(918) 756-6058
Mailing address
2234 W HOUSTON ST STE B, BROKEN ARROW, OK 74012-3519
(918) 259-1888
(918) 251-3725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5152
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200879280A
—
OK
01
—
5152
LICENSE
OK
Enumeration date
09/10/2019
Last updated
01/14/2025
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