MEDICARE: STEVE FLIES PT

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	1667	OK

General Provider Information

NPI Number	:	1821177601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE FLIES PT

Provider Business Mailing Address
First Line	:	2408 EAST 81ST STREET
Second Line	:	SUITE 300
City	:	TULSA
State	:	OK
Zip	:	74137-4230
Country	:	US
Telephone Number	:	918-477-5041
Fax Number	:	918-477-5940

Provider Business Practice Location Address
First Line	:	2408 EAST 81ST STREET
Second Line	:	SUITE 300
City	:	TULSA
State	:	OK
Zip	:	74137-4230
Country	:	US
Telephone Number	:	918-477-5041
Fax Number	:	918-477-5940

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

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Directions to “ STEVE FLIES PT” Practice Location

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