Individual
KYLA BESHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
617 S MAIN ST, EUFAULA, OK 74432-3301
(918) 423-2220
Mailing address
414522 E 1069 RD, COUNCIL HILL, OK 74428-5063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
OK
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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