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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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MINNICK, TIMOTHY TED       
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: EXCEL THERAPY SPECIALISTS
2232 W HOUSTON
BROKEN ARROW OK 74012

Address last updated on 12/12/2023
Phone #: (918) 259-9522
Fax #:
County: TULSA
License: 2542
Dated: 8/15/1996
Expires: 1/31/2025
Temp. Ltr. Issued: 6/12/1996
Temp. Ltr. Expires: 9/27/1996
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:
EXCEL THERAPY SPECIALISTS
2232 W HOUSTON
BROKEN ARROW OK 74012

Phone #: (918) 259-9522
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TOMMY JOE JACKSON TA 2420
BRAYDEN CADE MORGAN TA 3776
CHARLES EDWARD RAY JR. TA 2261
TORI NICOLE SINGLER TA 3038
ALICIA DAWN WHITE TA 1580

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