MR. Kenneth Wayne Waters, PT, MBA
NPI #1184837064 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1184837064
- Entity Type
- Individual
- Name
- MR. Kenneth Wayne Waters, PT, MBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, MBA
- Enumeration Date
- May 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2704 S ASPEN CT
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-7301
- Phone
- (918) 451-5143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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