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

Kylie Roberson

Individual provider Physical Therapy Assistant · NPI 1124613419

Kylie Roberson is a Physical Therapy Assistant in Tahlequah, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2021 Mahaney Ave Ste 6
Tahlequah, OK 74464-5795
Phone: (918) 458-5119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1124613419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021
Mailing addressPo Box 721628, Norman, OK 73070-8250

Other providers in Tahlequah