IndividualActive
Amy Bates, PTA
NPI 1962081786 · Physical Therapy Assistant · Jenks, OK
Provider details
- NPI number
- 1962081786
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 203689 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12018 S Elm St Ste 111
Jenks, OK 74037-3653
Phone: (918) 404-5066
Fax: (918) 296-7121
Approximate (ZIP-level) locationGet directions
Mailing address
12018 S Elm St Ste 111
Jenks, OK 74037-3653
Registry dates
- Enumerated
- 2021-04-07
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.