Healthcare Provider Details

I. General information

NPI: 1437994399
Provider Name (Legal Business Name): DANNY TERRY JR. RYT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7902 N MAY AVE
OKLAHOMA CITY OK
73120-4541
US

IV. Provider business mailing address

6850 TULIP DR
GUTHRIE OK
73044-7324
US

V. Phone/Fax

Practice location:
  • Phone: 405-669-0310
  • Fax:
Mailing address:
  • Phone: 405-669-0310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: