Most Relevant Information
Provider Data
| NPI Number: | 1003673484 |
| Provider Name: | LAYNIE WYRICK PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 3675 |
Most Important Dates
| Enumeration Date: | 03/04/2024 |
| Last Updated: | 03/04/2024 |
Provider Practice Location
4008 S YALE AVE
TULSA
OK
741356017
Practice Location Phone/Fax
| Phone: | 9186224278 |
| Fax: |
Provider Mailing Location
1650 LYNDON FARM CT STE 300
LOUISVILLE
KY
402235005
Provider Mailing Phone/Fax
| Phone: | 1812628306 |
| Fax: |