Randy Lee Aldret, ATC
Specialist/Technologist, Athletic Trainer in Tulsa, OK. Individual provider (NPI-1).
NPI number1568509784
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1568509784
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randy Lee Aldret
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT204 | OK | Yes |
Practice location
2520 S Yorktown AveTulsa, OK 74114-2809
Phone 918-746-2600
Mailing address
2520 S Yorktown AveTulsa, OK 74114-2809
Phone 918-746-2600
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