Individual
MRS. REBEKAH JO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
603 N GRAND AVE, TAHLEQUAH, OK 74464-2302
(918) 557-8232
Mailing address
1249 S 103RD EAST AVE, TULSA, OK 74128-4631
(918) 557-8232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
862
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63472
NATIONAL ATHLETIC TRAINERS ASSOCIATION
—
01
—
862
BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
05/04/2015
Last updated
05/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us