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Contact Information

MICHAEL R CHILDRESS, RPTA
2408 E 81ST ST STE 300
TULSA, OK74137-4200
 Phone: 918-477-5053
 Fax: 918-477-5040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MICHAEL R CHILDRESS · (Male)

NPI Number 1003019167
Status Active
Credentials RPTA
Entity Individual
Enumeration date 06/07/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 770
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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