Kris Ledford, PTA

NPI #1578148367 in Wagoner, Oklahoma

Provider Information

NPI Number: 1578148367
Entity Type: Individual
Name: Kris Ledford, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 12, 2021
Last Updated: Mar 12, 2021

Practice Location

Address: 817 W CHEROKEE ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4616
Phone: (918) 485-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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