Individual
JEREMY WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 S GRANITE AVE, TULSA, OK 74136-7039
(918) 251-4806
Mailing address
509 S LAUREL AVE, BROKEN ARROW, OK 74012-3204
(918) 707-0573
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2305
OK
Other
Enumeration date
02/14/2026
Last updated
02/14/2026
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