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Oklahoma Board of Medical Licensure and Supervision

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

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WAGONER, TAMMY SUE       
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: TULSA BONE AND JOINT ASSOCIATES
4802 SOUTH 109TH EAST AVE
TULSA OK 74146
Address last updated on 12/12/2024
Phone #: (918) 392-1400
Fax #:
County: TULSA
License: 2175
Dated: 4/5/1994
Expires: 1/31/2026
License Type: Physical Therapist
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
TULSA BONE AND JOINT ASSOCIATES
4802 SOUTH 109TH EAST AVE
TULSA OK 74146
Phone #: (918) 392-1400
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY DAWN AICH TA 2634
MARY GWENDOLYN ANN ALDRICH TA 1164
JOEY ANDERSON TA 2173
HEATHER NICOLE BAKER TA 2419
SUNNY MARIE BAUTISTA TA 1861
AMY DAWN BROWN TA 1555
JOSHUA ANTHONY BUTTON TA 2126
ETHAN DAVID CANTRELL TA 2645
KAYLA LERAE CHENEY TA 1523
LACY DREYANNE CONNORS TA 2230
ROBIN SUE COUNCIL TA 1656
JOHANNA ALENE CUMMINGS TA 1077
NANCY LYNN DAVIS TA 817
KRYSTLE MARIE HAZELWOOD TA 2770
STEFFEN TYLER HESS TA 3087
DEBORAH DIANE HILDEBRAND TA 818
NANCY LYNN KEIGLEY TA 555
LINDSEY MARIE MILLER TA 1559
KAILY N MITCHELL TA 2935
DIANA LYNN NEDLOSE TA 107
COURTNEY LYNN NUGENT TA 3460
CARLA RUTH PACE TA 15
TYLER BRADEN RAINS TA 2270
REGENA KAY RECORD TA 132
JENNIFER JO ROLLAND TA 1378
LAURA PAIGE SALSBURY TA 3311
DARELYN LEE SALVATORI TA 146
CARLY RAE SCALLORN TA 3337
JOANDRA CAROL SHELLEY TA 768
STEVEN ANDERSON SMITH TA 2956
LESLIE DIANNE STEYER TA 2775
NICOLE MARIE TIGER TA 2741
KERI DAWN VANDERPOOL TA 583
BRIDGET ANN VIRDEN TA 155
KRYSTLE MARIE WILLIAMS TA 2300

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