Provider Demographics
NPI:1952342164
Name:NEGLEY, ANDREW DEAN (DPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:DEAN
Last Name:NEGLEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9716 RIVERSIDE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7453
Mailing Address - Country:US
Mailing Address - Phone:918-615-6280
Mailing Address - Fax:918-615-6240
Practice Address - Street 1:9716 RIVERSIDE PKWY STE 201
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7453
Practice Address - Country:US
Practice Address - Phone:918-615-6280
Practice Address - Fax:918-615-6240
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3037225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist