Most Relevant Information
Provider Data
| NPI Number: | 1003640715 |
| Provider Name: | DESTRY BROOK KELLEY DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 6495 |
Most Important Dates
| Enumeration Date: | 08/27/2024 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
3300 OK-97 STE 200
SAND SPRINGS
OK
74063
Practice Location Phone/Fax
| Phone: | 5395270045 |
| Fax: |
Provider Mailing Location
5207 S HARVARD AVE APT K
TULSA
OK
741353545
Provider Mailing Phone/Fax
| Phone: | 5802437250 |
| Fax: |