| Doctor Name: | TOMMY DEAN WADE |
| NPI Number: | 1336262351 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1446 |
| Business Practice Address: | 6400 N Santa Fe Ave Ste. B Oklahoma City, OK - 731169126 |
| Business Phone Number: | 4058402903 |
| Business Fax Number: | 4058403256 |
| Mailing Address: | 4115 Michael Rd., EDMOND |
| State: | OK |
| Postal Code: | 75025 |
| Phone Number: | 4053488515 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1446 |
| 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 |