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Next Update: Thursday, December 19, 2024 2:50 AM CST
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NICKLES, TYLER KENDRICK
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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.
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| Practice Address: |
5 STAR THERAPY
207 N FANNIN AVE
DENISON TX 75020
Address last updated on 8/12/2020 |
| Phone #: |
(903) 421-2888 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
103319 |
| Dated: |
8/12/2020 |
| Expires: |
7/31/2022 |
| License Type: |
Physical Therapist |
| Specialty: |
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| Status: |
Inactive |
| Status Class: |
Licensed Under Compact
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| Restricted to: |
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| CME Year: |
0 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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