HATHAWAY, MATTHEW K. - 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

HATHAWAY, MATTHEW K.

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 512 SE. WASHINGTON BLVD. BARTLESVILLE OK 74006 Address last updated on 5/18/2024
Phone #:	(918) 333-4343
Fax #:	(918) 333-4355
County:	WASHINGTON
License:	3576
Dated:	7/18/2002
Expires:	1/31/2025
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 512 SE. WASHINGTON BLVD. BARTLESVILLE OK 74006 Phone #: (918) 333-4343 Fax #: (918) 333-4355

Name:	Type:	License Number:
Primary Supervisees(s):
MARANDA ANN DODD	TA	1087
VICTORIA ANN GAMMON	TA	3794
TIFFANY NICOLE JONES	TA	3579
AMBER NICOLE PRINCE	TA	1269
CHERYL DAWN ROUND	TA	2456
LISA JEAN VAUGHN	TA	1614
LISA JEAN VAUGHN	TA	1614

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