Larry Sidney Tanner, RPT | |
1519 N Oklahoma Ave, Shawnee, OK 74804-3848 | |
(405) 919-0135 | |
(405) 273-7084 |
Full Name | Larry Sidney Tanner |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1519 N Oklahoma Ave, Shawnee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336368018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT1807 (Oklahoma) | Primary |
Provider Name | Shawnee Medical Center Clinic, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
Mailing Address | Practice Location Address |
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Larry Sidney Tanner, RPT 8809 S Sooner Rd, Ste E, Oklahoma City, OK 73135-6605 Ph: (405) 919-0135 | Larry Sidney Tanner, RPT 1519 N Oklahoma Ave, Shawnee, OK 74804-3848 Ph: (405) 919-0135 |
Mr. Joe Kent Whitt, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2105 N Beard St, Shawnee, OK 74804 Phone: 405-990-5961 Fax: 405-214-6299 | |
Laura Rachal, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2506 N Harrison St, Shawnee, OK 74804 Phone: 405-214-0300 | |
Mr. Scott K. Howard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4901 N Kickapoo Ave Ste 1556, Shawnee, OK 74804 Phone: 405-214-9808 Fax: 405-214-9389 | |
Jennifer Leigh James, B.S., P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3306 N Kickapoo Ave, Suite 200, Shawnee, OK 74804 Phone: 405-609-3675 Fax: 800-506-3795 | |
Shakira Judeh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1712 Hunters Ridge Dr, Shawnee, OK 74804 Phone: 405-275-1668 Fax: 405-275-1668 | |
Breanna Rochelle Edenborough, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4651 N Harrison St, Shawnee, OK 74804 Phone: 405-214-1524 Fax: 405-395-5653 | |
Caitlyn Horn, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2506 N Harrison St, Shawnee, OK 74804 Phone: 405-214-0300 Fax: 405-214-0301 |