Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY MARIE SWAN, PTA
ActiveMRS. KELLY MARIE SWAN, PTA is a Physical Medicine & Rehabilitation healthcare provider located in OWASSO, Oklahoma. NPI 1619569852 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · OWASSO, OK
Registration Details
- NPI Number
- 1619569852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 9, 2021 (5.5510068935311 yrs)
- Last Updated
- May 9, 2025
- Licenses
-
460722482 (OK)1353 (OK)
Practice Information
- Address
-
12912 E 86TH ST NOWASSO, OK, 740558608Browse OK providers · Browse ZIP 74055
- Phone
- 9185243833
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
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.