Healthcare Provider Details

I. General information

NPI: 1952817603
Provider Name (Legal Business Name): PELVIC PT CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2017
Last Update Date: 12/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 S YALE AVE STE B
TULSA OK
74136-3302
US

IV. Provider business mailing address

6767 S YALE AVE STE B
TULSA OK
74136-3302
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-3000
  • Fax: 918-494-0003
Mailing address:
  • Phone: 918-494-3000
  • Fax: 918-494-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HELEN WASHECHECK
Title or Position: CEO
Credential: PT
Phone: 918-494-3000