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NPI Code Detail

MEDICARE: KRISTA MARIE OSBORNE MACHAL DPT

MEDICARE: KRISTA MARIE OSBORNE MACHAL 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 Therapist13755NC
2225100000XPhysical Therapist65960OR

General Provider Information

NPI Number : 1457606857
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA MARIE OSBORNE MACHAL DPT
Provider Business Mailing Address
First Line : 4301 WILSON ST
Second Line :
City : FORT SILL
State : OK
Zip : 73503-4472
Country : US
Telephone Number : 580-558-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4301 WILSON ST
Second Line :
City : FORT SILL
State : OK
Zip : 73503-4472
Country : US
Telephone Number : 580-558-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2012
Last Update Date : 01/29/2026

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