Individual
SHELBY BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1920 SW 9TH ST, NEWCASTLE, OK 73065-5819
(405) 517-7496
Mailing address
1920 SW 9TH ST, NEWCASTLE, OK 73065-5819
(405) 517-7496
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
773
OK
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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