Shakota Lacy Cheyenne Neal
Specialist/Technologist, Athletic Trainer in Edmond, OK. Individual provider (NPI-1).
NPI number1124752829
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1124752829
- Entity type
- Individual (NPI-1)
- Name
- Shakota Lacy Cheyenne Neal
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2022
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | OK | Yes |
Practice location
100 N University DrEdmond, OK 73034-5207
Phone 405-514-1215
Mailing address
100 N University DrEdmond, OK 73034-5207
Phone 405-514-1215
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