Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TIM T MINNICK, MPT

Active

Physical Therapy Assistant · BROKEN ARROW, OK

Registration Details

NPI Number: 1205854288
Provider Type: Individual
Gender: Male
NPI Issued: Jul 17, 2006 (19.763192290406 yrs)
Last Updated: Apr 30, 2015
License: 2542 (OK)

Practice Information

Address: 2232 W HOUSTON ST

BROKEN ARROW, OK, 740123529
Browse OK providers · Browse ZIP 74012
Phone: 9182599522
Fax: 9182599521
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BROKEN ARROW, OK

Name	Credential	NPI
RYAN MARC FLANARY	PT	1609868405
MR. SHAWN CHRISTOPHER MAYES	P.T.	1285610824
MRS. JULIANNA T NELSON	PT	1750348181
CAROLYN A FRIES	PT	1750323689
KYLE DOUGLAS KNAPP	P.T.	1134158629
MIKE S FLANARY	PT	1891716296

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.