Individual
EMILY MADRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 561-8255
Mailing address
1111 W 17TH ST, TULSA, OK 74107-1886
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
988
OK
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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