OrganizationActive
Bespoke Physical Therapy LLC
NPI 1952139388 · Physical Therapy Clinic/Center · Broken Arrow, OK
Provider details
- NPI number
- 1952139388
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nikolaus Prescott, Owner(918) 841-6257
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4907 E Galveston Pl
Broken Arrow, OK 74014-2342
Phone: (918) 841-6257
Fax: (539) 399-7520
Approximate (ZIP-level) locationGet directions
Mailing address
4907 E Galveston Pl
Broken Arrow, OK 74014-2342
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.