Individual provider · NPI-1
Rainee Lyne Ball
Student in an Organized Health Care Education/Training Program · Oklahoma City, OK
NPI number1972038065
StatusActive
Last updated in NPPESApr 26, 2017
Details
- NPI
- 1972038065
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rainee Lyne Ball
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2017
- Last updated
- Apr 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
5937 Nw 59th CtOklahoma City, OK 73122-7114
Phone 405-834-0580
Mailing address
5937 Nw 59th CtOklahoma City, OK 73122-7114
Phone 405-834-0580
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