Provider Demographics
NPI:1578278156
Name:STRICKLER, JENNIFER (ATC, PHD, MS, ASPS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:STRICKLER
Suffix:
Gender:F
Credentials:ATC, PHD, MS, ASPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 N OKLAHOMA AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-7404
Mailing Address - Country:US
Mailing Address - Phone:618-559-6553
Mailing Address - Fax:
Practice Address - Street 1:9600 N OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7404
Practice Address - Country:US
Practice Address - Phone:618-559-6553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer