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Clayton Kincannon, PTA
NPI 1982372553 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2630 Oklahoma Ave
Woodward, OK 73801 - Phone
- (580) 256-2102
- Fax
- (580) 256-1410
- Organisation at this address
- Northwest Physical Therapy And Sports Rehab, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Sex
- Male
- Record last updated
- 2021-08-31
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