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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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SMITH, AUSTIN M.       
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: 4401 SOUTH WESTERN AVE
OKLAHOMA CITY OK 73109

Address last updated on 1/21/2024
Phone #: (405) 636-7000
Fax #:
County: OKLAHOMA
License: 5962
Dated: 8/4/2021
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:
4401 SOUTH WESTERN AVE
OKLAHOMA CITY OK 73109

Phone #: (405) 636-7000
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMBER RAYE BURDINE TA 1885
EMILY GRACE FULTON TA 3389
ALEXANDRIA GALE GOODRICH TA 2917
KAITLYN R GUNTER TA 2753
SHELBY LEXANNA MILLER TA 3176
LESLIE HEIDI ROBERTS TA 3050
AUBREY KNOX STANLEY TA 2764
AMANDA JUNE WALKER TA 2407

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