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General NPI Number Information
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NPI Number | 1063010478
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Entity Type | Individual
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Provider Name | KIRBY JO CAPPS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/16/2020
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 1011 HONOR HEIGHTS DR
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City | MUSKOGEE
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State | OK
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Zip | 74401-1318
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Country | US
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Telephone | 888-397-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 617 E FORT WORTH PL
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City | BROKEN ARROW
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State | OK
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Zip | 74012-4316
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Country | US
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Telephone | 918-883-2887
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12430
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6153
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License Number State | OK
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