KEITH, JESSICA LAUREN - 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

KEITH, JESSICA LAUREN

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:	FOUNDATION THERAPY SPECIALISTS 1223 SWAN DRIVE BARTLESVILLE OK 74006 Address last updated on 10/15/2024
Phone #:	(918) 766-0391
Fax #:	(918) 336-8519
County:	WASHINGTON
License:	5001
Dated:	8/21/2015
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:
FOUNDATION THERAPY SPECIALISTS 1223 SWAN DRIVE BARTLESVILLE OK 74006 Phone #: (918) 766-0391 Fax #: (918) 336-8519

Name:	Type:	License Number:
Primary Supervisees(s):
CHRISTINA KAY BASHFORD	TA	900
AMANDA BURR	TA	1354
TRACY ANNE ROWE	TA	1441

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