Doctor Name: | PRESTON RUNYAN |
NPI Number: | 1427407378 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5146 |
Business Practice Address: | 14890 Se 29th St Choctaw, OK - 730203515 |
Business Phone Number: | 4053901731 |
Business Fax Number: | 4053901981 |
Mailing Address: | 440 Merchant Dr, NORMAN |
State: | OK |
Postal Code: | 730696470 |
Phone Number: | 4058098713 |
Fax Number: | 4055736768 |
NPI Enumeration Date: | 06/10/2016 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5146 |
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 |