NPI 1013404342

Nicholas Ryan Beasley, ATCCSCSCES

Practitioner Athletic Trainer Moore, OK

Practice location

Address: 3701 S I 35 Service Rd, Moore, OK 73160-3183
Phone: (405) 912-9000
Mailing address: 3720 S Telephone Rd, Moore, OK 73160-2914

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000017666 (CO)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1013404342
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2018
Record last updated: 23 Apr 2018

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.