Individual
EMILEE RAELYNN BURDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAT
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(918) 930-0156
Mailing address
930 S BOULEVARD APT 104, EDMOND, OK 73034-4711
(918) 930-0156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
207128
OK
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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