Individual
MALLORY KELSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 TUCKER DR, TULSA, OK 74104-9700
(918) 631-5259
(918) 631-3057
Mailing address
800 TUCKER DR, TULSA, OK 74104-9700
(918) 631-5259
(918) 631-3057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
734
OK
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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