Ignite Potential Physical Therapy and Wellness Pllc
NPI #1659168193 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1659168193
- Entity Type
- Organization
- Organization Name
- Ignite Potential Physical Therapy and Wellness Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 617 E FORT WORTH PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4316
- Phone
- (918) 883-2887
Authorized Official
- Name
- KIRBY CAPPS, DPT
- Title
- PHYSICAL THERAPIST
- Phone
- (918) 883-2887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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