Basic Information
| Provider Information | |||||||||
| NPI: | 1487118378 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGLER | ||||||||
| FirstName: | TORI | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4607 EMPORIA ST | ||||||||
| Address2: | |||||||||
| City: | MUSKOGEE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 744011530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9184418062 | ||||||||
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| Practice Location | |||||||||
| Address1: | 523 E 6TH ST | ||||||||
| Address2: | |||||||||
| City: | OKMULGEE | ||||||||
| State: | OK | ||||||||
| PostalCode: | 744475520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9187566060 | ||||||||
| FaxNumber: | 9187566058 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2019 | ||||||||
| LastUpdateDate: | 01/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 3038 | OK | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
ID Information
| ID | Type | State | Issuer | Description | 3038 | 01 | OK | PTA | OTHER |