Individual
MR. JARRETT R AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
301 S BRYANT AVE, STE B-100, EDMOND, OK 73034-5790
(405) 340-2019
Mailing address
13508 PECAN PL, EDMOND, OK 73013-5614
(405) 475-0466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
452
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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