MEDICARE: DR. KYLIE VOLK DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5541	OK

General Provider Information

NPI Number	:	1457175150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLIE VOLK DPT

Provider Business Mailing Address
First Line	:	9824 S IRVINGTON AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9824 S IRVINGTON AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-5028
Country	:	US
Telephone Number	:	918-859-4546
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	04/09/2026

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Directions to “ DR. KYLIE VOLK DPT” Practice Location

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