BRANTLEY, TIFFANY LYNN - 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

BRANTLEY, TIFFANY LYNN

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:	LAWTON PUBLIC SCHOOLS 753 FORT SILL BLVD LAWTON OK 73507 Address last updated on 1/24/2024
Phone #:	(580) 357-6900
Fax #:
County:	COMANCHE
License:	2963
Dated:	7/18/2018
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:
LAWTON PUBLIC SCHOOLS 753 FORT SILL BLVD LAWTON OK 73507 Phone #: (580) 357-6900 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
ANGELA ELAINE HOLDER	PT	2529

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