Provider Demographics
NPI:1023236064
Name:BEICHLER, DEBORAH KRAFFT (PT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KRAFFT
Last Name:BEICHLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:DEBBI
Other - Middle Name:KRAFFT
Other - Last Name:BEICHLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:15703 E 79TH ST N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-7008
Mailing Address - Country:US
Mailing Address - Phone:918-272-4199
Mailing Address - Fax:
Practice Address - Street 1:6585 S YALE AVE
Practice Address - Street 2:SUITE 445
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8384
Practice Address - Country:US
Practice Address - Phone:918-481-2977
Practice Address - Fax:918-481-2976
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK124464225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist