Individual
DR. L MICHAEL SIEGENTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
813 E 6TH ST STE 300, OKMULGEE, OK 74447-4701
(918) 756-3330
(918) 756-3332
Mailing address
813 E 6TH ST STE 300, OKMULGEE, OK 74447-4701
(918) 756-3330
(918) 756-3332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2167
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100833730A
—
OK
Enumeration date
02/22/2006
Last updated
08/10/2023
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