NPI

Krystle Hazelwood

NPI 1124959606

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2026-05-26
Last updated
2026-05-26

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Specialties

Licenses

License OK
2770

Location

Practice location
240 S Adams St
City
Jenks OK
Postal code
74037-2573
Phone
(918) 409-0157
Fax
(918) 209-4788

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Physical Therapy Assistants in Jenks, OK. 9 with this primary taxonomy in the public file.

Other NPIs in Jenks, OK. 552 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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