Doctor Name: | MECHELLE PETTY |
NPI Number: | 1407031131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3129 |
Business Practice Address: | 2213 W Xyler St Tulsa, OK - 741272228 |
Business Phone Number: | 9188086083 |
Business Fax Number: | |
Mailing Address: | 2213 W Xyler St, TULSA |
State: | OK |
Postal Code: | 741272228 |
Phone Number: | 9188086083 |
Fax Number: | |
NPI Enumeration Date: | 12/31/2007 |
NPI Last Update Date: | 12/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3129 |
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 |