Jacquelyn Dove Payne, PTA

Physical Therapy Assistant · Broken Arrow, OK

Individual Active NPI

NPI number 1447596358

Practice location

4300 W Houston St
Broken Arrow, OK 74012-4519
Phone
(918) 307-0233
Fax
(918) 307-0233

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NPI record

NPI
1447596358
Entity type
Individual (Type 1)
Enumeration date
December 20, 2012
Last updated
December 20, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 417 OK

Mailing address

4049 E 23rd St
Tulsa, OK 74114-3431
Phone
(918) 510-1270

About Jacquelyn Payne

Jacquelyn Dove Payne, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 4300 W Houston St, Broken Arrow, OK 74012-4519. The NPI number 1447596358 was assigned on December 20, 2012 and the record was last updated on December 20, 2012.

Jacquelyn Payne lists a license in the registry: #417 (OK) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacquelyn Dove Payne, PTA?

The NPI number is 1447596358.

What is the phone number of Jacquelyn Payne?

The phone number listed for the practice location is (918) 307-0233.

Where is Jacquelyn Payne located?

4300 W Houston St, Broken Arrow, OK 74012-4519.

What is the taxonomy code for Jacquelyn Payne?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

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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