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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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WOODS, MICHELLE RENEE       
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: NEWMAN MEMORIAL HOSPITAL
905 S MAIN
SHATTUCK OK 73858

Address last updated on 1/11/2024
Phone #: (580) 938-2551 x5578
Fax #: (580) 938-5325
County: ELLIS
License: 3059
Dated: 8/24/2000
Expires: 1/31/2025
Temp. Ltr. Issued: 6/7/2000
Temp. Ltr. Expires: 9/30/2000
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:
NEWMAN MEMORIAL HOSPITAL
905 S MAIN
SHATTUCK OK 73858

Phone #: (580) 938-2551 x5578
Fax #: (580) 938-5325
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRADY ALAN BOWLES PT 6647
CLAYTON RAY KINCANNON TA 3423
JADE ANESE MCCRACKEN TA 3821
MYSHAL LEANNE OLIVE TA 2185
AMBER DAWN TAPIA TA 1345
KARI JO WEIAND TA 2235

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