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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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GUEST, BLAKE NICHOLAS       
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: MOMENTUM PHYSICAL THERAPY AND SPORTS PERFORMANCE
1430 EAST LINCOLN RD
IDABEL OK 74745

Address last updated on 1/17/2024
Phone #: (580) 286-5162
Fax #:
County: MCCURTAIN
License: 1822
Dated: 8/28/2009
Expires: 1/31/2025
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:
MOMENTUM PHYSICAL THERAPY AND SPORTS PERFORMANCE
1430 EAST LINCOLN RD
IDABEL OK 74745

Phone #: (580) 286-5162
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHRISTOPHER DON SKELTON PT 4514

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