Organization
EAGLE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LEA KRAUSE PT/ATC (REHABILITATION COORDINATOR)
(580) 272-4978
Entity
Organization
Contact information
Practice address
2501 E MEMORIAL RD, EDMOND, OK 73013-5525
(405) 425-1960
(405) 425-1962
Mailing address
2501 E MEMORIAL RD, EDMOND, OK 73013-5525
(405) 425-1960
(405) 425-1962
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2813
OK
Other
Enumeration date
02/10/2014
Last updated
10/26/2016
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