Individual
WHITNEY A TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
307 S 6TH ST, MORRIS, OK 74445-4816
(918) 733-9072
Mailing address
16755 N 350 RD, BOYNTON, OK 74422-6100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
632
OK
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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