Nr Shawnee, LLC

NPI #1922861004 in Shawnee, Oklahoma

Provider Information

NPI Number
1922861004
Entity Type
Organization
Organization Name
Nr Shawnee, LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Feb 1, 2024
Last Updated
Mar 3, 2025

Practice Location

Address
3700 N KICKAPOO AVE STE 116
ZIP Code
74804-0007
Phone
(405) 551-8103

Authorized Official

Name
TIMOTHY COIT BALES
Title
CEO
Phone
(405) 953-7221

Specialties & Taxonomy Codes

Specialty
Family Medicine
Physical Medicine & Rehabilitation

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