FULTZ, KAITLYN SPENCER - 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

FULTZ, KAITLYN SPENCER

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:	SUMMIT PHYSICAL THERAPY 1516 N LYNN RIGGS BLVD #106 CLAREMORE OK 74017 Address last updated on 12/5/2023
Phone #:	(918) 342-3800
Fax #:	(918) 342-3900
County:	ROGERS
License:	6356
Dated:	6/1/2023
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:
SUMMIT PHYSICAL THERAPY 1516 N LYNN RIGGS BLVD #106 CLAREMORE OK 74017 Phone #: (918) 342-3800 Fax #: (918) 342-3900

Name:	Type:	License Number:
Primary Supervisees(s):
BRISTEN NIKAIL BROWN	TA	3361
SAYGE BREANN GERBER	TA	3716
KRISTIE NICOLE OWENS	TA	1651

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