Childress, Michael Raymond
Childress, Michael Raymond is an individual health care provider with primary practice located at 2408 E 81St St Ste 300 , Tulsa OK 74137-4200. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Childress, Michael Raymond can be contacted via phone (918) 477-5053.Contact Information
Primary practice address
2408 E 81St St Ste 300
Tulsa OK 74137-4200
Phone: (918) 477-5053
Fax: (918) 477-5040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 770 | Oklahoma |
Profile Details
| NPI number | 1003019167 |
|---|---|
| LBN Legal business name | Childress, Michael Raymond |
| Credentials | RPTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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