FAIRBROTHER, LACEY RAE - Licensee Information

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Last Update: Monday, April 29, 2024 11:28 AM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

FAIRBROTHER, LACEY RAE

Practice Address:	EMPOWERME WELLNESS 2100 NE 140TH ST EDMOND OK 73013 Address last updated on 12/19/2023
Phone #:	(405) 393-6868
Fax #:
County:	OKLAHOMA
License:	4499
Dated:	6/23/2011
Expires:	1/31/2025
Temp. Ltr. Issued:	5/27/2011
Temp. Ltr. Expires:	11/3/2011
License Type:	Physical Therapist
Specialty:

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:
EMPOWERME WELLNESS 2100 NE 140TH ST EDMOND OK 73013 Phone #: (405) 393-6868 Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
RUSSELL DEAN ANDREWS	TA	706
MICHAELA ELIZABETH ARINGTON	TA	3367
NINA L BROWN	TA	511
DANIELLE ANNALIESE CALHOUN	TA	3657
LISA ESTELL	TA	1134
KENDRA LEE FIXICO	TA	3481
JACE KISER FLEWALLEN	TA	2522
KAITLYN R GUNTER	TA	2753
MICHAEL HAGEN	TA	2509
ALICE HOLEJSOVSKY	TA	810
CHRISTOPHER EDWARD HOWELL	TA	3736
TAMMI RENEE JONES	TA	685
DEREK KEN JONES	TA	681
KEELI LAURIN KESSINGER	TA	2845
NINA DEE MAAS	TA	1416
APRIL LYNN MASTON	TA	1779
MEAGHAN NICHOLE MITZNER	TA	2725
CHRISTY LYNN MURRY	TA	3363
KELLI RENEE PRIDEMORE	TA	3317
CARLY RAE SCALLORN	TA	3337
KORDD WILLIAM STANDIFER	TA	3738
MARYAH DAWN STEWART	TA	3356
KRISTA VANCE	TA	2941
MEGAN ROSE VANSCOYOC	TA	2794
KACEY RENAE WATTS	TA	1698
HANNAH RENEE WEESE	TA	3476
AUDREY LYNN WHITE	TA	1324
TYLER KENT WILBOURN	TA	3603
JASON WILLIAMS	TA	3387