Healthcare Provider Details

I. General information

NPI: 1649231499
Provider Name (Legal Business Name): KRISTIN CROSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8282 S MEMORIAL DR STE 107
TULSA OK
74133-4311
US

IV. Provider business mailing address

13649 S 21ST ST E
BIXBY OK
74008-1174
US

V. Phone/Fax

Practice location:
  • Phone: 918-224-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3637
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: