MEDICARE: MRS. KIMBERLY DAWN CRYER M.S.P.T.

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
1	225100000X	Physical Therapist	2570	OK

General Provider Information

NPI Number	:	1043384670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY DAWN CRYER M.S.P.T.

Provider Business Mailing Address
First Line	:	6400 N SANTA FE AVE STE B
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9126
Country	:	US
Telephone Number	:	405-820-8692
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 N SANTA FE AVE STE B
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9126
Country	:	US
Telephone Number	:	405-840-2903
Fax Number	:	405-840-3256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	08/22/2025

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