SHIPMAN, MADISON MICHELE - 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

SHIPMAN, MADISON MICHELE

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:	ATTAIN PHYSICAL THERAPY 11462 S UNION AVE UNIT E JENKS OK 74006 Address last updated on 7/25/2024
Phone #:	(918) 417-2607
Fax #:
County:	TULSA
License:	3512
Dated:	2/1/2022
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:
ATTAIN PHYSICAL THERAPY 11462 S UNION AVE UNIT E JENKS OK 74006 Phone #: (918) 417-2607 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
BENJAMIN ALLEN MAYER	PT	4995

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