HENSLEY, LAVONDA ANN - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

HENSLEY, LAVONDA ANN

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:	THE GREGORY KISTLER TREATMENT CENTER INC 3304 S. M. STREET FORT SMITH AR 72903 Address last updated on 1/4/2024
Phone #:	(479) 785-4677
Fax #:
County:	NOT OKLAHOMA
License:	1201
Dated:	11/18/2002
Expires:	1/31/2025
Temp. Ltr. Issued:	8/23/2002
Temp. Ltr. Expires:	11/23/2002
License Type:	Physical Therapist Assistant
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:
THE GREGORY KISTLER TREATMENT CENTER INC 3304 S. M. STREET FORT SMITH AR 72903 Phone #: (479) 785-4677 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
KRISTEN MICHELLE RICKETTS	PT	5064

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