Individual
JOHN TODD BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2417 E 53RD ST, TULSA, OK 74105-6600
(918) 712-8412
(918) 712-8413
Mailing address
2417 E 53RD ST, TULSA, OK 74105-6600
(918) 712-8412
(918) 712-8413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5513
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5513
OK STATE BOARD OF MEDICAL LICENSURE & SUPERVISION
OK
Enumeration date
08/14/2018
Last updated
08/14/2018
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