ROSE, SHANNON RAE - Licensee Information

Search Results

Last Update: Monday, May 6, 2024 6:57 PM CDT
Next Update: Tuesday, May 7, 2024 2:50 AM CDT

ROSE, SHANNON RAE

Practice Address:	800 SHARE DR. ALVA OK 73717 Address last updated on 1/2/2024
Phone #:	(580) 430-3357
Fax #:
County:	WOODS
License:	4962
Dated:	5/29/2015
Expires:	1/31/2025
License Type:	Physical Therapist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
800 SHARE DR. ALVA OK 73717 Phone #: (580) 430-3357 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
HUNTER KEITH HALDERMAN	TA	3431
CLAYTON RAY KINCANNON	TA	3423
AMBER DAWN TAPIA	TA	1345
BRANT MICHAEL THOMPSON	TA	3583
KARI JO WEIAND	TA	2235

Return to Search Licensees page

GDPR Notice

European Union Residents - GDPR Notice: In accordance with the Oklahoma Open Records Act, all applications submitted are a matter of public record. Social Security Numbers and any HIPAA-protected data are redacted. By applying for and retaining an Oklahoma Medical License, you are giving consent to share your information with anyone requesting it and waiving your right to be notified when your data is requested. We are also required to retain licensee records for a minimum of 10 years after the license expires, so any information submitted will remain a public record for that time period.

Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
Contact Info