MILLER, CHAD MICHAEL - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

MILLER, CHAD MICHAEL

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	SELECT PHYSICAL THERAPY 101 S. SAINTS BLVD SUITE 116 EDMOND OK 73034-3051 Address last updated on 7/1/2024
Phone #:	(405) 359-1864
Fax #:
County:	OKLAHOMA
License:	203
Dated:	9/16/1998
Expires:	8/31/2025
Temp. Ltr. Issued:	8/13/1998
Temp. Ltr. Expires:	9/27/1998
License Type:	Athletic Trainer
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
SELECT PHYSICAL THERAPY 101 S. SAINTS BLVD SUITE 116 EDMOND OK 73034-3051 Phone #: (405) 359-1864 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KEVIN WAYNE HARGROVE	MD	16493

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