KROEKER, MICHAEL GEORGE - 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

KROEKER, MICHAEL GEORGE

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:	GOLDEN AGE HOME HEALTH 934 SW 107TH OKLAHOMA CITY OK 73170 Address last updated on 12/11/2024
Phone #:	(405) 692-1255
Fax #:
County:	OKLAHOMA
License:	747
Dated:	10/29/1998
Expires:	1/31/2026
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:
GOLDEN AGE HOME HEALTH 934 SW 107TH OKLAHOMA CITY OK 73170 Phone #: (405) 692-1255 Fax #:

Name:	Type:	License Number:
Primary Supervisor(s):
KATHERINE LADD BROWN	PT	4922
TYLER WAYNE ECKEL	PT	4090
JILL MICHELLE KEEL	PT	1814

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