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NPI Code Detail

MEDICARE: KATIE MAI CHAU PT, DPT

MEDICARE: KATIE MAI CHAU PT, 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
1225100000XPhysical Therapist6788OK

General Provider Information

NPI Number : 1568312262
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE MAI CHAU PT, DPT
Provider Business Mailing Address
First Line : 600 SW 18TH ST
Second Line :
City : BENTONVILLE
State : AR
Zip : 72712-7861
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14715 BRISTOL PARK BLVD
Second Line :
City : EDMOND
State : OK
Zip : 73013-1894
Country : US
Telephone Number : 405-840-1686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ KATIE MAI CHAU PT, DPT” Practice Location

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