Individual
MR. JIMMY DALE ROGERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
(918) 774-1498
Mailing address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
(918) 774-1498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3814
OK
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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