HENDERSON, NATHAN GAGE - Licensee Information

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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

HENDERSON, NATHAN GAGE

Practice Address:	PTC AT KINGFISHER 105 N MAIN ST STE. B KINGFISHER OK 73750 Address last updated on 1/17/2024
Phone #:	(405) 375-5654
Fax #:	(405) 375-5655
County:	KINGFISHER
License:	3008
Dated:	10/11/2018
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:
PTC AT KINGFISHER 105 N MAIN ST STE. B KINGFISHER OK 73750 Phone #: (405) 375-5654 Fax #: (405) 375-5655

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
BRANDON MICHAEL TRACHMAN	PT	4038

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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
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