Individual
ARIC SCOTT AIRITAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 S BOULDER AVE, TULSA, OK 74119-2842
(918) 631-2619
Mailing address
327 S DELAWARE AVE APT 617, TULSA, OK 74104-2446
(214) 226-0209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/26/2021
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