Individual
KARLYSE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T., A.T.C.
Contact information
Practice address
323 WEST EAGLE BLVD, GOODWELL, OK 73939
(580) 349-1338
(580) 349-1419
Mailing address
323 WEST EAGLE BLVD, PO BOX 430, GOODWELL, OK 73939
(580) 349-1338
(580) 349-1419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
797
OK
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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