| Doctor Name: | MR. DONALD LANDIS |
| NPI Number: | 1548363948 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 468 |
| Business Practice Address: | 609 S. Kelly Suite L-4 Edmond, OK - 73003 |
| Business Phone Number: | 4052852455 |
| Business Fax Number: | 4052852457 |
| Mailing Address: | 5400 N Grand Blvd, Suite 500 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731125692 |
| Phone Number: | 4059490404 |
| Fax Number: | 4059491705 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 11/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 468 |
| 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 |