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Oklahoma Board of Medical Licensure and Supervision

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

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MUMMA, ASHLEY NICOLE       
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: 4800 SOUTH 109TH EAST AVENUE
TULSA OK 74146

Address last updated on 4/29/2024
Phone #: (918) 605-2554
Fax #:
County: TULSA
License: 4753
Dated: 9/5/2013
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:
4800 SOUTH 109TH EAST AVENUE
TULSA OK 74146

Phone #: (918) 605-2554
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HEATHER NICOLE BAKER TA 2419
KAYLA LERAE CHENEY TA 1523
LACY DREYANNE CONNORS TA 2230
KRYSTLE MARIE HAZELWOOD TA 2770
STEFFEN TYLER HESS TA 3087
COURTNEY LYNN NUGENT TA 3460
TYLER BRADEN RAINS TA 2270
LAURA PAIGE SALSBURY TA 3311
CARLY RAE SCALLORN TA 3337
STEVEN ANDERSON SMITH TA 2956
NICOLE MARIE TIGER TA 2741

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