Individual
NICK CHAFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4503 N WHEELER AVE, BETHANY, OK 73008-2860
(405) 495-6809
Mailing address
4503 N WHEELER AVE, BETHANY, OK 73008-2860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
695
OK
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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