Individual
CASEY REECE PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
6475 S YALE AVE STE 301, TULSA, OK 74136-7815
(918) 494-9300
(918) 494-9324
Mailing address
6475 S YALE AVE STE 301, TULSA, OK 74136-7815
(918) 494-9300
(918) 494-9324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
499
OK
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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