Individual provider · Type 1 NPI

Mary Kathleen Staley, P.T.

Specialist · Tulsa, OK

NPI number 1104030113 Active

Practice location

744 W 9th St, Rehab Medicine Dept (H205)
Tulsa, OK 74127-9020

Call (918) 599-5190 Map

Fax (918) 599-5818

Mailing address

5117 E 25th St
Tulsa, OK 74114-3721

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT1080 (OK)

Specialist: 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.

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About NPI 1104030113

Mary Kathleen Staley, P.T.'s National Provider Identifier is 1104030113, issued on May 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 8, 2007.