Individual
MR. HERBERT C. RHEA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
205 E B ST, JENKS, OK 74037-3906
(918) 298-0460
Mailing address
5101 E 97TH ST, TULSA, OK 74137-4907
(918) 298-0460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
059
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059
ATHLETIC TRAINER LICENSE
OK
Enumeration date
02/14/2006
Last updated
07/08/2007
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