Gretchen Altevogt
Specialist/Technologist, Athletic Trainer in Tulsa, OK. Individual provider (NPI-1).
NPI number1861692147
StatusActive
Last updated in NPPESJul 24, 2007
Details
- NPI
- 1861692147
- Entity type
- Individual (NPI-1)
- Name
- Gretchen Altevogt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2007
- Last updated
- Jul 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 379 | OK | Yes |
Practice location
600 S College AveTulsa, OK 74104-3126
Phone 918-631-5423 · Fax 918-631-3057
Mailing address
600 S College AveTulsa, OK 74104-3126
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