Healthcare Provider Details

I. General information

NPI: 1558489385
Provider Name (Legal Business Name): STEPHEN PAUL KLASSEN PT, MPT, CERT. MDT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 TRAE YOUNG DR
NORMAN OK
73069-5090
US

IV. Provider business mailing address

2201 TRAE YOUNG DR
NORMAN OK
73069-5090
US

V. Phone/Fax

Practice location:
  • Phone: 405-515-8080
  • Fax:
Mailing address:
  • Phone: 405-515-8080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number3538
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number3538
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: