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

Mr. Kenneth Wayne Waters, PT, MBA

Individual provider Physical Therapist · NPI 1184837064

Mr. Kenneth Wayne Waters, PT, MBA is a Physical Therapist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

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.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

2704 S Aspen Ct
Broken Arrow, OK 74012-7301
Phone: (918) 451-5143
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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 PT 1396 (OK)

Record details

NPI number1184837064
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MBA
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007

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