Individual
KATHERINE MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 473-9452
Mailing address
12813 SE 52ND ST, CHOCTAW, OK 73020-5628
(405) 473-9452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
705
OK
Other
Enumeration date
08/05/2014
Last updated
01/28/2017
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