| Doctor Name: | MS. AUTUMN NICOLE ANESHANSLEY |
| NPI Number: | 1407012115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 4099 |
| Business Practice Address: | 1111 S Saint Louis Ave Rm 2325 Tulsa, OK - 741205440 |
| Business Phone Number: | 9186194668 |
| Business Fax Number: | 9186194662 |
| Mailing Address: | 3732 S Louisville Ave, TULSA |
| State: | OK |
| Postal Code: | 741352244 |
| Phone Number: | 5803020571 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2008 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4099 |
| 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 |