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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 9:05 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

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WAGNER, MAKENZI ALEXIS
Practice Address: MERCY THERAPY SERVICES I-35
2017 W I-35 FRONTAGE ROAD, SUITE 220
EDMOND OK 73013

Address last updated on 1/29/2024
Phone #: (405) 757-3380
Fax #:
County: OKLAHOMA
License: 5619
Dated: 6/29/2020
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:
MERCY THERAPY SERVICES I-35
2017 W I-35 FRONTAGE ROAD, SUITE 220
EDMOND OK 73013

Phone #: (405) 757-3380
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
EMILY G HAM TA 3234
MELODY MELINDA HOPPERS TA 1616
KARA VARGHESE TA 3450
ARALYN PAIGE WILLIAMS TA 3226

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