Individual
MR. TRAVIS JAMES VEATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
6729 NW 39TH EXPY, BETHANY, OK 73008-2605
(405) 717-6236
Mailing address
5825 HEFNER VILLAGE CIR, OKLAHOMA CITY, OK 73162-7757
(405) 717-6256
(405) 717-6287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
272
OK
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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