Healthcare Provider Details

I. General information

NPI: 1689740698
Provider Name (Legal Business Name): TRINITY THERAPY SERVICES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 CLAYTON AVE
POTEAU OK
74953-4102
US

IV. Provider business mailing address

4500 S GARNETT RD SUITE # 610
TULSA OK
74146-5229
US

V. Phone/Fax

Practice location:
  • Phone: 918-647-9026
  • Fax: 918-647-8968
Mailing address:
  • Phone: 918-622-4799
  • Fax: 918-622-1905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JEANNE MORTON
Title or Position: CEO
Credential:
Phone: 918-622-4799