Healthcare Provider Details

I. General information

NPI: 1639004450
Provider Name (Legal Business Name): CHLOE CHRISTINE WHITEFIELD PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 BROOKVIEW DR
ARDMORE OK
73401-1219
US

IV. Provider business mailing address

1402 BROOKVIEW DR
ARDMORE OK
73401-1219
US

V. Phone/Fax

Practice location:
  • Phone: 580-850-1160
  • Fax:
Mailing address:
  • Phone: 580-850-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6883
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: