Provider Demographics
NPI:1164705596
Name:SENEY, STEPHANIE ANN (ATC)
Entity Type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:ANN
Last Name:SENEY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2520 S YORKTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-2809
Mailing Address - Country:US
Mailing Address - Phone:918-746-2600
Mailing Address - Fax:918-746-2636
Practice Address - Street 1:2520 S YORKTOWN AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-2809
Practice Address - Country:US
Practice Address - Phone:918-746-2600
Practice Address - Fax:918-746-2636
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6452255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK645OtherOKLAHOMA STATE BOARD OF MEDICAL LICENSURE