Provider Demographics
NPI:1821737982
Name:LING, KATHI JEAN (PT)
Entity Type:Individual
Prefix:
First Name:KATHI
Middle Name:JEAN
Last Name:LING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHI
Other - Middle Name:JEAN
Other - Last Name:LING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1000 N LINCOLN BLVD STE 3200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-3252
Mailing Address - Country:US
Mailing Address - Phone:405-271-9448
Mailing Address - Fax:
Practice Address - Street 1:1000 N LINCOLN BLVD STE 3200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-3252
Practice Address - Country:US
Practice Address - Phone:405-271-9448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty