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MARY KATHLEEN STALEY P.T. NPI 1104030113


NPI Information

NPI: 1104030113
Provider Name: MARY KATHLEEN STALEY, P.T.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
744 W 9TH ST
REHAB MEDICINE DEPT (H205)
TULSA, OK
ZIP 74127
Phone: (918) 599-5190
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Mary Kathleen Staley, P.T. is a specialist in Tulsa, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mary Kathleen Staley, P.T. NPI is 1104030113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

744 W 9TH ST
REHAB MEDICINE DEPT (H205)
TULSA, OK
ZIP 74127-020
Phone: (918) 599-5190
Fax: (918) 599-5818

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistPT1080OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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