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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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GOECKE, MATTHEW       
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: ATHLETICO PHYSICAL THERAPY
1001 W MEMORIAL ROAD, STE 107
OKLAHOMA CITY OK 73114
Address last updated on 11/21/2024
Phone #: (405) 546-2325
Fax #:
County: OKLAHOMA
License: 6016
Dated: 6/8/2021
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:
ATHLETICO PHYSICAL THERAPY
1001 W MEMORIAL ROAD, STE 107
OKLAHOMA CITY OK 73114
Phone #: (405) 546-2325
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRENDAN K BIFFLE TA 3851
DANIELLE ANNALIESE CALHOUN TA 3657
LISA ESTELL TA 1134
KENDRA LEE FIXICO TA 3481
JACE KISER FLEWALLEN TA 2522
ALICE HOLEJSOVSKY TA 810
CHRISTOPHER EDWARD HOWELL TA 3736
DEREK KEN JONES TA 681
TAMMI RENEE JONES TA 685
KEELI LAURIN KESSINGER TA 2845
APRIL LYNN MASTON TA 1779
KORDD WILLIAM STANDIFER TA 3738
MICHAELA ELIZABETH STAREGA TA 3367
MEGAN ROSE VANSCOYOC TA 2794
HANNAH RENEE WEESE TA 3476
TYLER KENT WILBOURN TA 3603
JASON WILLIAMS TA 3387

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