Wesley Shane Ward, PT
Physical Therapist in Altus, OK. Individual provider (NPI-1).
NPI number1881908002
StatusActive
Last updated in NPPESNov 21, 2023
Details
- NPI
- 1881908002
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wesley Shane Ward
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2010
- Certification date
- Nov 21, 2023
- Last updated
- Nov 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4354 | OK | Yes |
Practice location
1200 E Pecan StAltus, OK 73521-6141
Phone 580-379-5820 · Fax 580-379-5829
Mailing address
1200 E Pecan StAltus, OK 73521-6141
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