NPI 1063681104

Oklahoma State University

Organisation Preferred Provider Organization Stillwater, OK

Practice location

Address: 170 Athletics Center, Stillwater, OK 74078-0001
Phone: (405) 744-5430
Fax: (405) 744-4945

Authorised official

Name: Georgia Meri Chappell
Title: Athletics Insurance Coordinator
Phone: (405) 744-5430

Registered specialties (3)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 17462 (OK)

Other Preferred Provider Organization providers in Oklahoma →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 3509 (OK)

Other Physical Therapist providers in Oklahoma →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 465 (OK)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1063681104
Entity type: Organization
NPI issued: 22 Feb 2008
Record last updated: 22 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.