Individual
ELIZABETH MICHELLE HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4100 SE ADAMS RD, A100, BARTLESVILLE, OK 74006-8437
(918) 331-9922
(918) 331-9971
Mailing address
4100 SE ADAMS RD, AUITE A-100, BARTLESVILLE, OK 74006-8437
(918) 331-9922
(918) 331-9971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1670
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100636730C
—
OK
Enumeration date
06/13/2006
Last updated
05/08/2008
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