Healthcare Provider Details

I. General information

NPI: 1598314205
Provider Name (Legal Business Name): AUSTIN INSKEEP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17860 N MACARTHUR BLVD STE E
EDMOND OK
73012
US

IV. Provider business mailing address

PO BOX 643001
DALLAS TX
75264-3001
US

V. Phone/Fax

Practice location:
  • Phone: 405-960-0287
  • Fax: 405-960-0288
Mailing address:
  • Phone: 405-609-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: