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

Mary Kathleen Staley, PT

Individual provider Specialist · NPI 1104030113

Mary Kathleen Staley, PT is a Specialist in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

744 W 9th St Rehab Medicine Dept (H205)
Tulsa, OK 74127-9020
Phone: (918) 599-5190
Fax: (918) 599-5818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT1080 (OK)

Record details

NPI number1104030113
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address5117 E 25th St, Tulsa, OK 74114-3721

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