JACKSON, CHANDA D'RIECE - 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

JACKSON, CHANDA D'RIECE

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:	BODY WORKS PHYSICAL THERAPY & WELLNESS 424 E BROADWAY ST. THOMAS OK 73669-7404 Address last updated on 12/31/2023
Phone #:	(580) 819-0881
Fax #:
County:	CUSTER
License:	3728
Dated:	6/3/2004
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:
BODY WORKS PHYSICAL THERAPY & WELLNESS 424 E BROADWAY ST. THOMAS OK 73669-7404 Phone #: (580) 819-0881 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
BRANDY DAWN CHASE	TA	1711
KATY DIANN COLE	TA	2137
HOLLY CHRISTINE FARRIS	TA	1235
DARCE DANAE HALEY	TA	1888
JESSICA JEAN HASKINS	TA	1785
MAKENZIE PAIGE HOUGLAND	TA	3696
LAKRESHA LOUISE JONES	TA	1601
MELODY ANNE LOWRANCE	TA	879
KELLEE MARIE MOORE	TA	3117
LINDSEY LEIGH PINKERTON	TA	1154
ELIZABETH MARIE SCHENK	TA	1153
HALEY DAWN SHELBURNE	TA	1610
SHADOW DRUM STEPHENSON	TA	2959
LARRY MICHAEL STINEMAN	TA	1238

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