Individual
GRACE JEAN FORNWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR, ATC, LAT, CES
Contact information
Practice address
375 TRIAD VILLAGE DR UNIT 14, NORMAN, OK 73071-2896
(314) 753-6506
Mailing address
375 TRIAD VILLAGE DR UNIT 14, NORMAN, OK 73071-2896
(314) 753-6506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2015032686
MO
2255A2300X
Athletic Trainer
Primary
987
OK
2255A2300X
Athletic Trainer
—
TX
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us