Healthcare Provider Details

I. General information

NPI: 1639276074
Provider Name (Legal Business Name): CURTIS MARK HOBBS RPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6933 S 66TH E AVENUE
TULSA OK
74133
US

IV. Provider business mailing address

6933 S 66TH E AVENUE
TULSA OK
74133
US

V. Phone/Fax

Practice location:
  • Phone: 918-495-0600
  • Fax: 918-496-2146
Mailing address:
  • Phone: 918-495-0600
  • Fax: 918-496-2146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number660
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: