Provider Demographics
NPI:1568883155
Name:HARGIS, HANNAH (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:HARGIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:MARDIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:4113 E 30TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-6207
Mailing Address - Country:US
Mailing Address - Phone:580-339-1011
Mailing Address - Fax:
Practice Address - Street 1:5115 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7430
Practice Address - Country:US
Practice Address - Phone:918-627-5238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK47002251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics