OrganizationActive
Cutting Edge Physical Therapy PLLC
NPI 1205352028 · Physical Therapy Clinic/Center · Yukon, OK
Provider details
- NPI number
- 1205352028
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Cutting Edge Physical Therapy, PLLC
- Organization subpart
- Yes
- Authorized official
- Shawn Wallace, Owner(405) 265-1628
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1805 Commons Cir Ste 100-B
Yukon, OK 73099-9519
Phone: (405) 265-1628
Fax: (405) 265-1929
Approximate (ZIP-level) locationGet directions
Mailing address
526 Sw 4th St Ste 200
Moore, OK 73160-5409
Registry dates
- Enumerated
- 2017-08-15
- Last updated
- 2020-09-21
- Certified
- 2020-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.