BOWLES, KIRSTA MARIE - 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

BOWLES, KIRSTA MARIE

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:	VALIR PHYSICAL THERAPY 4546 GORE BLVD LAWTON OK 73507 Address last updated on 12/29/2023
Phone #:	(580) 355-0671
Fax #:
County:	COMANCHE
License:	2609
Dated:	5/31/2016
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:
VALIR PHYSICAL THERAPY 4546 GORE BLVD LAWTON OK 73507 Phone #: (580) 355-0671 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
JIMMY ROYCE STANTON JR	PT	1686

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