Mathis, Tiphanie S.
Mathis, Tiphanie S. is an individual health care provider with primary practice located at 801 Nw 63Rd St , Oklahoma City OK 73116-7603. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mathis, Tiphanie S. can be contacted via phone (405) 879-9997.Contact Information
Primary practice address
801 Nw 63Rd St
Oklahoma City OK 73116-7603
Phone: (405) 879-9997
Fax: (405) 879-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 2926 | Oklahoma |
Profile Details
| NPI number | 1750353181 |
|---|---|
| LBN Legal business name | Mathis, Tiphanie S. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 17th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750353181 | NPPES |
| Oklahoma | MEDICAID | 200097800A |
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