Individual
MATTISON MARY NICOLE LAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, PTA
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2836
OK
2255A2300X
Athletic Trainer
Primary
883
OK
Other
Enumeration date
06/09/2020
Last updated
04/18/2022
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