Provider Demographics
NPI:1629203849
Name:FRANKLIN, TONIA SHERELL (PT, MS)
Entity Type:Individual
Prefix:MRS
First Name:TONIA
Middle Name:SHERELL
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:TONIA
Other - Middle Name:SHERELL
Other - Last Name:MATHIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2320 N.W. 161ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013
Mailing Address - Country:US
Mailing Address - Phone:405-313-0426
Mailing Address - Fax:
Practice Address - Street 1:2320 NW 161ST ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-1661
Practice Address - Country:US
Practice Address - Phone:405-313-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501008709225100000X
OK1748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty