Provider Demographics
NPI:1700191939
Name:HATTON, SHELIA JO (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:JO
Last Name:HATTON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 JORDAN WAY
Mailing Address - Street 2:
Mailing Address - City:PAULS VALLEY
Mailing Address - State:OK
Mailing Address - Zip Code:73075-6921
Mailing Address - Country:US
Mailing Address - Phone:405-926-7297
Mailing Address - Fax:
Practice Address - Street 1:101 JORDAN WAY
Practice Address - Street 2:
Practice Address - City:PAULS VALLEY
Practice Address - State:OK
Practice Address - Zip Code:73075-6921
Practice Address - Country:US
Practice Address - Phone:405-926-7297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKTA539225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant