NPI 1003225863

Jesse Chavez, ATCLAT

Practitioner Athletic Trainer Oklahoma City, OK

Practice location

Address: 2501 N Blackwelder Ave, Oklahoma City, OK 73106-1402
Phone: (405) 208-6500
Mailing address: 2601 N Kentucky Ave APT 413, Oklahoma City, OK 73106-1282

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 722 (OK)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1003225863
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Aug 2014
Record last updated: 6 Aug 2014

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.