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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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TUTTLE, JACOB LEE       
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: GUYMON PHYSICAL THERAPY AND WELLNESS
211 NORTHWEST 5TH STREET
GUYMON OK 73942

Address last updated on 12/3/2023
Phone #: (580) 338-4789
Fax #: (626) 618-9792
County: TEXAS
License: 3766
Dated: 5/5/2005
Expires: 1/31/2025
Temp. Ltr. Issued: 2/24/2005
Temp. Ltr. Expires: 5/7/2005
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:
GUYMON PHYSICAL THERAPY AND WELLNESS
211 NORTHWEST 5TH STREET
GUYMON OK 73942

Phone #: (580) 338-4789
Fax #: (626) 618-9792
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JASON WAYNE EIDSON TA 2883

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