Provider Demographics
NPI:1720167505
Name:TURCOTTE, KATHRYN A (PT AT CHT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:A
Last Name:TURCOTTE
Suffix:
Gender:F
Credentials:PT AT CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 S ELM PL
Mailing Address - Street 2:SUITE 456
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-7877
Mailing Address - Country:US
Mailing Address - Phone:918-451-3000
Mailing Address - Fax:918-451-2700
Practice Address - Street 1:2950 S ELM PL
Practice Address - Street 2:SUITE 456
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-7877
Practice Address - Country:US
Practice Address - Phone:918-451-3000
Practice Address - Fax:918-451-2700
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1531225100000X
OK1112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer