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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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EIDSON, JASON WAYNE       
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: GUYMON PHYSICAL THERAPY AND WELLNESS
211 NW 5TH
GUYMON OK 73942

Address last updated on 10/28/2024
Phone #: (580) 338-4789
Fax #: (626) 618-9792
County: TEXAS
License: 2883
Dated: 3/2/2018
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:
GUYMON PHYSICAL THERAPY AND WELLNESS
211 NW 5TH
GUYMON OK 73942

Phone #: (580) 338-4789
Fax #: (626) 618-9792
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KYRIE ALESIAN MCKEE PT 5388
JACOB LEE TUTTLE PT 3766

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