Individual provider · Type 1 NPI

Connor Tackett

Physical Therapist · Tulsa, OK

NPI number 1649101155 Active

Practice location

1120 S Utica Ave
Tulsa, OK 74104-4012

Mailing address

22981 Elm St
Bokoshe, OK 74930-2592

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1649101155

Connor Tackett's National Provider Identifier is 1649101155, issued on May 26, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Tulsa, OK. The record was last updated on May 26, 2026.