Healthcare Provider Details

I. General information

NPI: 1073303723
Provider Name (Legal Business Name): THE PERFECT POCKET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5232 E 69TH PL
TULSA OK
74136-3407
US

IV. Provider business mailing address

5232 E 69TH PL
TULSA OK
74136-3407
US

V. Phone/Fax

Practice location:
  • Phone: 918-727-2289
  • Fax: 918-221-7814
Mailing address:
  • Phone: 918-727-2289
  • Fax: 918-221-7814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224900000X
TaxonomyMastectomy Fitter
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN PURDY
Title or Position: OWNER
Credential:
Phone: 918-727-2289