Kelly Shive
Physical Therapy Assistant in Pryor, OK. Individual provider (NPI-1).
NPI number1932051182
StatusActive
Last updated in NPPESFeb 11, 2026
Details
- NPI
- 1932051182
- Entity type
- Individual (NPI-1)
- Name
- Kelly Shive
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2026
- Certification date
- Feb 11, 2026
- Last updated
- Feb 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 1697 | OK | Yes |
Practice location
111 N Bailey StPryor, OK 74361-4201
Phone 918-824-7770
Mailing address
111 N Bailey StPryor, OK 74361-4201
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Other Physical Therapy Assistant providers in Pryor, OK
- Tia R Cullen, PTANPI 1598350456
- Melissa Marie Girty, PTANPI 1962095794
- Sean Darrieus GrissettNPI 1053967083
- Sean Vincent William Grossman, PTANPI 1457938789
- Jaren Moorman, PTANPI 1467219519
- Daniel Stockton, RPTANPI 1942856042
All 7 Physical Therapy Assistant providers in Pryor · All 606 providers in Pryor
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