MATLOCK, SHELBY BROOK - Licensee Information

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Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

MATLOCK, SHELBY BROOK

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:	SSM HEALTH THERAPY SERVICES 9060 HARMONY DRIVE SUITE A MIDWEST CITY OK 73130 Address last updated on 1/15/2024
Phone #:	(405) 610-7800
Fax #:
County:	OKLAHOMA
License:	5536
Dated:	5/11/2018
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:
SSM HEALTH THERAPY SERVICES 9060 HARMONY DRIVE SUITE A MIDWEST CITY OK 73130 Phone #: (405) 610-7800 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
JAMIE ANN FESLER	TA	2387
LYNETTE NICHELLE HOUSTON	TA	2041
MEGAN KRISTINE WILKEY	TA	2899

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