Provider Demographics
NPI:1588641971
Name:HUSLIG, DAVID P (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:P
Last Name:HUSLIG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10914 HEFNER POINTE DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-5066
Mailing Address - Country:US
Mailing Address - Phone:405-749-6720
Mailing Address - Fax:405-749-1066
Practice Address - Street 1:825 N BROADWAY AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-6012
Practice Address - Country:US
Practice Address - Phone:405-609-3670
Practice Address - Fax:405-605-8638
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPT2528225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK248512401Medicare ID - Type Unspecified