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NPI Code Detail

MEDICARE: MITCHELL CAMERON STROUD PT,DPT

MEDICARE: MITCHELL CAMERON STROUD PT,DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6716OK

General Provider Information

NPI Number : 1013848258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL CAMERON STROUD PT,DPT
Provider Business Mailing Address
First Line : 10325 GREENBRIAR PL STE B
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7647
Country : US
Telephone Number : 405-759-7719
Fax Number :
Provider Business Practice Location Address
First Line : 10325 GREENBRIAR PL STE B
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7647
Country : US
Telephone Number : 405-759-7719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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