DIPPREY, JASON MICHAEL - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

DIPPREY, JASON MICHAEL

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:	GOODLIFE PT AT GOODYEAR TIRE & RUBBER 901 SW GOODYEAR BLVD LAWTON OK 73505 Address last updated on 1/15/2024
Phone #:	(580) 531-6095
Fax #:	(580) 531-6015
County:	COMANCHE
License:	4007
Dated:	6/14/2007
Expires:	1/31/2025
Temp. Ltr. Issued:	5/31/2007
Temp. Ltr. Expires:	9/22/2007
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:
GOODLIFE PT AT GOODYEAR TIRE & RUBBER 901 SW GOODYEAR BLVD LAWTON OK 73505 Phone #: (580) 531-6095 Fax #: (580) 531-6015

Name:	Type:	License Number:
Primary Supervisees(s):
SCOTT WAYNE DAVIS	TA	3270
CHAD JEFFREY PERRY	TA	1705
EMILY KAY TOTTE	TA	3119

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