Individual provider · Type 1 NPI

Thomas Jenkins, PTA

Peer Specialist · Ponca City, OK

NPI number 1174726277 Active

Practice location

2225 N Union St
Ponca City, OK 74601-1555

Mailing address

913 Brentwood Dr
Ponca City, OK 74601-1618

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X1141 (OK)
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

23 other providers at this address

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About NPI 1174726277

Thomas Jenkins, PTA's National Provider Identifier is 1174726277, issued on Jun 6, 2007. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ponca City, OK. The record was last updated on Oct 11, 2021.