Mary Kathleen Staley, P.T.

Specialist · Tulsa, OK

Individual Active NPI

NPI number 1104030113

Practice location

744 W 9TH St
Rehab Medicine Dept (H205)
Tulsa, OK 74127-9020
Phone
(918) 599-5190
Fax
(918) 599-5818

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NPI record

NPI
1104030113
Entity type
Individual (Type 1)
Enumeration date
May 9, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X PT1080 OK

Mailing address

5117 E 25TH St
Tulsa, OK 74114-3721
Phone
(918) 742-5187

About Mary Staley

Mary Kathleen Staley, P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 744 W 9TH St, Rehab Medicine Dept (H205), Tulsa, OK 74127-9020. The NPI number 1104030113 was assigned on May 9, 2007 and the record was last updated on July 8, 2007.

Mary Staley lists a license in the registry: #PT1080 (OK) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Kathleen Staley, P.T.?

The NPI number is 1104030113.

What is the phone number of Mary Staley?

The phone number listed for the practice location is (918) 599-5190.

Where is Mary Staley located?

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

What is the taxonomy code for Mary Staley?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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