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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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TRAVIS, KELSEY BROOKE       
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: TRIAD HOME HEALTH
129 N. PENNSYLVANIA
MANGUM OK 73554
Address last updated on 12/12/2024
Phone #: (580) 782-5800
Fax #:
County: GREER
License: 4526
Dated: 8/30/2011
Expires: 1/31/2026
Temp. Ltr. Issued: 7/14/2011
Temp. Ltr. Expires: 9/16/2011
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:
TRIAD HOME HEALTH
129 N. PENNSYLVANIA
MANGUM OK 73554
Phone #: (580) 782-5800
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALLISON MARIE ADAIR TA 3498
NICOLAS RAFAEL ALEXANDER TA 1857
VICTORIA NOEMI ALVARADO TA 3138
DANNETTE ANDREWS TA 2572
STEPHEN CHRISTOPHER ANTEL TA 219
LESLIE KEM ARCHER TA 3169
KAREN ELAINE ATKINSON TA 1142
KIRA MICHELLE BARCLAY TA 1504
LESLI BROOKE BARRETT TA 1516
STACI BARTON TA 2702
KASSIDY ANN BATT TA 3424
MADISON ALLEN BEANLAND TA 3124
LAURYN ASHLEIGH BECERRA TA 3537
ZANE MATTHEW BENDALL TA 1116
LAURA MAKAYAH BERGLAN TA 3577
TJ SHANNON BLACKBURN TA 3644
SHARLA SUE BOWLING TA 419
ADAM RAY BOYD TA 1574
STEVEN DOUGLAS BOYD TA 1787
OLIVIA AIMEE BRIIX TA 3848
MORGAN GILES BRITTON TA 736
CARYN CARMELA BROOKS TA 1326
CATHY BROWN TA 3596
ERIC LYNN BUTLER TA 1500
MACKENZIE LEA CARDER TA 2659
BILLY CHARLES CARROLL TA 3277
TIMOTHY DAVID CARROLL TA 1659
BRITTANY HOPE CARTER TA 3384
STEVI LYNN CASE TA 2307
CHRISTINA ANN CASEY TA 2524
JESSICA ANNE CLAYTON TA 2081
STACI LYNN CRUME TA 2135
JADE ASHLIN CRUZAN TA 3120
JESSICA DAWN DAY TA 2196
LESLIE NICOLE DAY TA 1449
AMY JOY DELEON TA 582
JENNIFER DELOERA TA 2375
PENNY LANETTE DENNIS TA 145
DIANA JUNE DEVER TA 333
BROOKE ASHLYN DILLINGER TA 3479
JANA DAIL DOCTORMAN TA 2125
DANELLE ANN DOERR TA 2632
CARLA SUE DOUGLAS TA 740
BRAD LYNN EDWARDS TA 1060
CANDACE CAI EISCHEN TA 476
TIANNA R ELLIOTT TA 839
BRANDON HEATH EMERSON TA 1048
NITA ADALE EMMONS TA 1699
CHANDLER BRODY ENKEY TA 3046
KARA NICOLE ENKEY TA 3362
TAYLOR GRANT ERWIN TA 3116
LORI RAE EXINIA TA 1997
TAPANGA DEZERA FAIRLESS TA 3586
RUSSELL ALLEN FANNING TA 1498
ANA G FARRIS TA 890
KENDRA LEE FIXICO TA 3481
TAMARA ZAID FLEMONS TA 3102
ANNA FOMUSO TA 3751
DANIEL FRANK FORCUCCI TA 2370
BROOKLYNN DANETTE FRICKS TA 3426
KIMBERLY REGINA GARZA TA 1232
KIMBERLY REGINA GARZA TA 1232
ELIZABETH RUTHANN GHANAATI TA 2357
RYAN MILLER GIBSON TA 2712
HANNA BREANN GLOVER TA 3572
HAYDEN LEE GREEN TA 2758
SARA ELIZABETH GREEN TA 2526
LEIGH ANN GRIFFITH TA 686
KELLI LEANNE HAMEN TA 2496
KASSY HANSON TA 1906
KRYSTAL LANETTE HARRISON TA 1558
JENNIFER ANN HASSELWANDER TA 3539
AMANDA HECK TA 3100
MELISSA JO HEID TA 291
JEFF EDWARD HELLBUSCH TA 1923
STACY RENEE-BERRY HERRON TA 867
RENEE MICHELLE HILL TA 1801
BRIAN JASON HILLIARY TA 1409
CANDACE JOHNELL HLADIK TA 1792
KEVIN SCOTT HOWELL TA 646
WENDY DAWN ISOM TA 1055
LACY MARIE JACOBS TA 1788
VICTORIA A JESCHKE TA 3274
ERIN DARCY JOHNSON TA 2623
MESHELL NICCOLE JOHNSON-KENNEDY TA 1808
JONATHAN D JONES TA 3211
LAKRESHA LOUISE JONES TA 1601
TODD VINCENT KAMPHAUS TA 2656
NANCY LYNN KEIGLEY TA 555
MICHAELANNE KELLY TA 356
SHANNA LEA KERLEY TA 894
BRITTANY LYNN KING TA 1789
KEVIN WAYNE KINNAIRD TA 2144
EMILY SARAH KITZROW TA 1407
TONYA MICHELLE KNIGHT TA 1196
BRADYN CHASE KOEHLER TA 3265
SANDI NATTHAKARN ATTAMAKULSRI KOSITCHAIWAT TA 3733
JENNA MARIE KRAUTKREMER TA 3620
TAYLOR DEANN KULOW TA 2642
JESSA LANE TA 3532
ALLISON D LANEY TA 3549
MICHELLE RENEE LAWSON TA 1896
KELI NICOLE LAWSON TA 1157
CRYSTAL MARIE LEDAY TA 1488
BRANDON GRANT LEWIS TA 3832
TURNER LANSON LOGSDON III TA 3723
JAMES MADISON LUNSFORD TA 1778
MATTHEW SCOTT LYNN TA 512
LINDSAY MICHELLE MAGEE TA 3637
MARY FRANCES MARBUT TA 3582
RODNEY GERALD MARTIN TA 213
JENSEN ALEXIS MARTIN TA 3517
ANGELIA KAY MASON TA 466
AMANDA GAYLE MASON TA 1398
ASHLEY RENA MAYO TA 3126
JACQUELINE LYNN MCADOO TA 379
JAMI LADON MCCARTNEY TA 1747
WHITNEY DAWN MCCLURE TA 1505
JENNIFER LYNN MCCOOL-POTTER TA 2101
MICHAEL MCCOY TA 3106
NICOLE MARIE MCCOY TA 1938
CHEYENNE AUTUMN MCCRACKEN TA 3081
KRISTEN NICHOLE MCGUIRE TA 3798
MINDY LINN MCKEOWN TA 1063
VICKI JANE MICHAELS TA 878
SHELBY LEXANNA MILLER TA 3176
TAYLOR SHEA MOSELEY TA 3373
MARLEKA KAI MUNN TA 1401
CHRISTY LYNN MURRY TA 3363
JEREMY TODD MYERS TA 2188
JENNIFER LEE NEELY TA 1226
SCOTT WINFORD NELMS TA 3016
KEISHA JUANELL NELSON TA 1750
JENNIFER DAYE NEVILLE TA 2697
PIERRE NGALANI TA 2380
KATIE ANN NICHOLS TA 3432
JACOB CHRISTOPHER NUTTER TA 1430
MANDY FAYE NUTTER TA 2585
NATHANIEL WAYNE ODUM TA 2088
DANIEL JOSEPH ORE TA 614
VALARIE JEAN PARKER TA 1418
QUANAH ANN PARKER TA 3273
KERIE RENAE PEARSON TA 3099
JAMES ALAN PHELPS TA 903
MORGAN DEANN PHILLIPS TA 2857
ALEXANDER PRICE TA 2973
MARIAH TERESE PRICE TA 3131
EMBERLY MAY PRYOR TA 3560
LAURA MICHELLE RAIRDON TA 1179
AYLI FELIPE RAMIREZ-FELIPE TA 3502
MELISSA DAWN RAY TA 1899
DELIA SHERREE REED TA 1455
CYNTHIA YVETTE RIVAS TA 3253
SONIA RENEE ROACHELL TA 913
JESSICA JAREE ROBBERSON TA 2018
LAUREN RODEBUSH TA 2558
MEREDITH JANE ROSS TA 1745
PAMELA DENISE RUTLEDGE TA 976
MARNIE GAYE RUTLEDGE TA 738
HANNAH JOY SCHICK TA 2947
ASHLEIGH DAWN SCHLUTER TA 2023
JOSHUA LADD SCHMIDT TA 1313
JENNIFER LYNN SCOTT TA 1482
MARY CHRISTINE SEATON TA 1719
JENNIFER LEANN SELBY TA 1390
LINDSAY DAWN SELSOR TA 1059
RONEE LYNN SHATSWELL TA 884
CARENZA ANGELINE SHIELDS TA 1071
HEATHER NICOLE SHIELDS TA 571
LINDSEY MARIE SHORT TA 1912
CAROL AMANDA SKELLY TA 2002
CHIPPER LANE SKELTON TA 3691
AMBER DENYSE SKELTON TA 1202
HEATHER LYNN SMITH TA 2745
RACHEL ELIZABETH SMITH TA 3802
JADE ONEAL STAGGS TA 3319
SARAH ANN STARR TA 2801
LAUREN JAMIE STEELE TA 1824
SHANA RENEE STEPHENSON TA 2138
MARYAH DAWN STEWART TA 3356
LESLIE DIANNE STEYER TA 2775
JARRED LUKE STOCKTON TA 2805
JEREMY JOSEPH SWANSON TA 1707
RYAN BELMONT TAYLOR TA 3229
BRANT MICHAEL THOMPSON TA 3583
MIKAYLA NICOLE TOMASI TA 2827
LEESA BROOKE TORABI TA 2748
BRIDGETTE DAWN TOWNSEND TA 2293
BARRY LYNN WADE TA 402
CALEB JOEL WALKER TA 2457
PENNY LANE WALLS TA 1590
MIRANDA OPELA WATFORD TA 3272
GARVIN LEE WEST III TA 3294
JACQUELINE DEAN WHETSTONE TA 391
AARON LLOYD WHETSTONE TA 2752
CHRISTOPHER WARREN WHITMIRE TA 322
ANGELA MARIE WOFFORD TA 2567
LACEY DYAN WOFFORD TA 1526
JOANNA ELIZABETH WOOD TA 1797
JOANNA ELIZABETH WOOD TA 1797
STUART YEAKLEY TA 3459
GERALD BURTON YOUMANS II TA 2974
TRACI MAE ZACHARIAS TA 3801

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