Individual
CHRISTY MARIE KERFOOT-TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
709 OKLAHOMA BLVD, ALVA, OK 73717-2749
(580) 829-2632
Mailing address
56254 JEFFERSON RD, BURLINGTON, OK 73722-4615
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1352
OK
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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