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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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HENRY, CHRISTIAN TAYLOR       
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: THERAPY IN MOTION/PERFORMANCE CENTER
511 N MONTE VISTA ST
ADA OK 74820

Address last updated on 5/7/2024
Phone #: (580) 436-3633
Fax #: (580) 436-2977
County: PONTOTOC
License: 6373
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:
THERAPY IN MOTION/PERFORMANCE CENTER
511 N MONTE VISTA ST
ADA OK 74820

Phone #: (580) 436-3633
Fax #: (580) 436-2977
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMBER KATARINA BUSTOS TA 3698
JAMISON LUKE ELSTON TA 3631
JAYDIN JAMES RILEY TA 2718
TAMREN ALYN STUART TA 2720

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