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

Mr. Wade Kennedy Willis, PT

Individual provider Physical Therapist · NPI 1174601363

Mr. Wade Kennedy Willis, PT is a Physical Therapist in Owasso, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
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

7738 N Owasso Expwy
Owasso, OK 74055
Phone: (918) 928-4255
Fax: (918) 928-4258
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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 3935 (OK)

Record details

NPI number1174601363
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

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