Individual
AMANDA A WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
OKLAHOMA STATE UNIVERSITY, 189 COLVIN RECREATION CENTER, STILLWATER, OK 74078-0001
(405) 744-4346
Mailing address
1200 N PERKINS RD, APT. E16, STILLWATER, OK 74075-7104
(870) 245-8073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
479
OK
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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