Individual
MISTI CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
Mailing address
6828 W 8TH STREET RD, ANDERSON, IN 46011-9709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03799
KY
Other
Enumeration date
12/27/2012
Last updated
01/07/2025
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