ECKSTROM, GRACE CATHERINE - Licensee Information

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

ECKSTROM, GRACE CATHERINE

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:	CITIZENS POTAWATOMI NATION PHYSICAL THERAPY 2345 S GORDON COOPER DR SHAWNEE OK 74804 Address last updated on 9/19/2024
Phone #:	(405) 695-6004
Fax #:
County:	POTTAWATOMIE
License:	6036
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:
CITIZENS POTAWATOMI NATION PHYSICAL THERAPY 2345 S GORDON COOPER DR SHAWNEE OK 74804 Phone #: (405) 695-6004 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
ASHLEE NICHOLE BLANCHARD	TA	3494
ASHLE ELIZABETH BODE	TA	3665
CARYN CARMELA BROOKS	TA	1326
SARA ANNE DALE	TA	1052
NICHOLE LYNN GOALDEN	TA	3659
BENJAMIN LEWIS HEARNE	TA	1685
AUTUMN KAY HOLLADAY	TA	3775
GINA KAY HUNT	TA	563
COLIN MUNCY HUTCHENS	TA	1484
SHAWNA LENAE JOHNSTON	TA	739
WHITNEY RENEE KLOIBER	TA	2443
TYLER AARON LOGAN	TA	3797
TERESA MARIE MASTROBERARDINO	TA	3831
KEA KAY MAYS	TA	3701
STACY ALISON PATTILLO	TA	120
ZACHARY RICHARD	TA	3407
DONNY LYNN ROBERTS	TA	412
PATRICIA KAY ROSS	TA	311
KIERAN KNIGHT SCHMULT	TA	2566
MELISSA IRENE SINKO	TA	2799
ANN MARIE SMITH	TA	1288
KOLTON DALE SMITH	TA	3623
MICHAELA ELIZABETH STAREGA	TA	3367
DEREK BRANDON THAYER	TA	2008
STEPHANIE DAWN WAINSCOTT	TA	3826
ASHLEY MARIE WELCH	TA	2263

Return to Search Licensees page