Ben Anderson, ATC
Specialist/Technologist, Athletic Trainer in Tulsa, OK. Individual provider (NPI-1).
NPI number1871048843
StatusActive
Last updated in NPPESAug 19, 2016
Details
- NPI
- 1871048843
- Entity type
- Individual (NPI-1)
- Name
- Ben Anderson
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2016
- Last updated
- Aug 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 679 | OK | Yes |
Practice location
800 S Tucker DrTulsa, OK 74104-9700
Phone 918-631-5258
Mailing address
450 W 7th St#1802
Tulsa, OK 74119-1051
Phone 918-508-1175 · Fax 918-631-3057
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