Individual
MCKENZIE BLAKE GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
180 W BROOKS ST, NORMAN, OK 73019-1018
(405) 659-7754
(405) 325-8388
Mailing address
180 W BROOKS ST, NORMAN, OK 73019-1018
(405) 659-7754
(405) 325-8388
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1057
OK
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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