Provider Demographics
NPI:1942922737
Name:PHYSICAL THERAPY 4 ME, PLLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY 4 ME, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRUNK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:918-740-9992
Mailing Address - Street 1:7877 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3456
Mailing Address - Country:US
Mailing Address - Phone:918-492-1618
Mailing Address - Fax:918-492-1813
Practice Address - Street 1:7877 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3456
Practice Address - Country:US
Practice Address - Phone:918-492-1618
Practice Address - Fax:918-492-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty