NPI 1174601363 MR. WADE KENNEDY WILLIS MPT TULSA OK. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Wade Kennedy Willis - NPI: 1174601363

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. WADE KENNEDY WILLIS
NPI Number: 1174601363
Entity Type Code: Individual (1)
Gender: M
Credentials: MPT
License Number: 3935
Business Practice Address: 6767 S Yale Ave
Suite B Tulsa, OK - 741363302
Business Phone Number: 9184889992
Business Fax Number: 9184889993
Mailing Address: 9275 Riverside Dr, Apt. X
TULSA
State: OK
Postal Code: 741377331
Phone Number: 9185490131
Fax Number:
NPI Enumeration Date: 11/02/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225100000X
License Number: 3935
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OK
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Physical Therapist
Taxonomy Specialization:
Taxonomy Definition:
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT


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