Individual
TAMI KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 S CHERRY ST, SKIATOOK, OK 74070-1325
(918) 396-2149
Mailing address
14145 S 220TH EAST AVE, COWETA, OK 74429-6269
(918) 808-8219
(918) 486-1311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1213
OK
Other
Enumeration date
11/21/2009
Last updated
11/21/2009
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