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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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GUEST, BLAKE NICHOLAS
Practice Address: MOMENTUM PHYSICAL THERAPY AND SPORTS PERFORMANCE
1430 EAST LINCOLN RD
IDABEL OK 74745

Address last updated on 1/17/2024
Phone #: (580) 286-5162
Fax #:
County: MCCURTAIN
License: 1822
Dated: 8/28/2009
Expires: 1/31/2025
License Type: Physical Therapist Assistant
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:
MOMENTUM PHYSICAL THERAPY AND SPORTS PERFORMANCE
1430 EAST LINCOLN RD
IDABEL OK 74745

Phone #: (580) 286-5162
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHRISTOPHER DON SKELTON PT 4514

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