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Jack Tully, DPT
NPI 1427624303 · on the registry since 2021 · sole proprietor
Practice
- Address
- 7005 Se 15th St Ste 200
Midwest City, OK 73110 - Phone
- (405) 610-2488
- Fax
- (405) 610-2484
- Organisation at this address
- Valir Outpatient Clinic #5 Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-01
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma