NPI 1114359098 · live from the CMS NPI Registry
Jenna L Anderson, PT, DPT
Physical Therapist in Bethany, OK. National Provider Identifier 1114359098, active.
NPI record
| NPI | 1114359098 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 6800 Nw 39th Expy, Bethany, OK 73008 |
| Practice phone | 405-789-6711 |
| Enumerated | August 2, 2013 |
| Last updated | November 8, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 5090 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.