Healthcare Provider Details

I. General information

NPI: 1891708418
Provider Name (Legal Business Name): JUST FOR THERAPY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/18/2010
Certification Date:
Deactivation Date: 03/27/2008
Reactivation Date: 05/21/2009

III. Provider practice location address

207 ELM
NOBLE OK
73068
US

IV. Provider business mailing address

PO BOX 721505
NORMAN OK
73070
US

V. Phone/Fax

Practice location:
  • Phone: 405-872-1550
  • Fax: 405-872-1510
Mailing address:
  • Phone: 405-872-1550
  • Fax: 405-872-1510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT1983
License Number StateOK

VIII. Authorized Official

Name: MR. STEVEN JOE RUGGS
Title or Position: PRESIDENT DIRECTOR OF PT
Credential: PT
Phone: 405-872-1550