MR. Wade Kennedy Willis, PT

NPI #1174601363 in Owasso, Oklahoma

Provider Information

NPI Number: 1174601363
Entity Type: Individual
Name: MR. Wade Kennedy Willis, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 2, 2006
Last Updated: Mar 19, 2021

Practice Location

Address: 7738 N OWASSO EXPWY
City: Owasso
State: Oklahoma
ZIP Code: 74055
Phone: (918) 928-4255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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