Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Arnold Tully, DPT

Individual provider Physical Therapist · NPI 1427624303

Jack Arnold Tully, DPT is a Physical Therapist in Midwest City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7005 SE 15th St Ste 200
Midwest City, OK 73110-5126
Phone: (405) 610-2488
Fax: (405) 610-2484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6034 (OK)

Record details

NPI number1427624303
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address800 Nw 6th St, Oklahoma City, OK 73106-7241

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