Provider Demographics
NPI:1346698776
Name:GLASGOW, KATE L (PT)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:L
Last Name:GLASGOW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:L
Other - Last Name:PRIBYL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:440 MERCHANT DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6470
Mailing Address - Country:US
Mailing Address - Phone:405-809-8710
Mailing Address - Fax:405-573-6768
Practice Address - Street 1:12200 N MACARTHUR BLVD STE H
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-1849
Practice Address - Country:US
Practice Address - Phone:405-809-8660
Practice Address - Fax:405-603-6676
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist