Michael Raymond Childress, RPTA

NPI #1003019167 in Tulsa, Oklahoma

Provider Information

NPI Number: 1003019167
Entity Type: Individual
Name: Michael Raymond Childress, RPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: RPTA
Enumeration Date: Jun 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2408 E 81ST ST STE 300
City: Tulsa
State: Oklahoma
ZIP Code: 74137-4200
Phone: (918) 477-5053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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