Individual
MYRIA OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT-ATC
Contact information
Practice address
9300 E 29TH ST N, WICHITA, KS 67226-2182
(316) 219-8299
(316) 219-5899
Mailing address
12 LANSDOWNE DR, WICHITA, KS 67220-4907
(316) 650-5279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2400702
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2400702
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
09/23/2014
Last updated
09/23/2014
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