Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

BOUREY BLAZEK, KRISTINA       
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: THERAWEST PHYSICAL THERAPY
509 SOUTH 30TH STREET
CLINTON OK 73601

Address last updated on 11/27/2024
Phone #: (580) 323-8778
Fax #:
County: CUSTER
License: 3699
Dated: 12/6/2023
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:
THERAWEST PHYSICAL THERAPY
509 SOUTH 30TH STREET
CLINTON OK 73601

Phone #: (580) 323-8778
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LAUREN M SANCHEZ PTC 13723

Return to Search Licensees page