DECKER, KELLI MARIE - 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

DECKER, KELLI MARIE

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:	THE CENTER FOR INDIVIDUALS WITH PHYSICAL CHALLENGE 815 S. UTICA AVE TULSA OK 74104 Address last updated on 6/7/2024
Phone #:	(918) 767-4503
Fax #:
County:	TULSA
License:	282
Dated:	8/19/2024
Expires:	11/30/2025
Temp. Ltr. Issued:	6/7/2024
Temp. Ltr. Expires:	9/19/2024
License Type:	Therapeutic Recreation Specialist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
THE CENTER FOR INDIVIDUALS WITH PHYSICAL CHALLENGE 815 S. UTICA AVE TULSA OK 74104 Phone #: (918) 767-4503 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
PAIGE NICOLE STUART	TRS	103

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