NPI 1023758604

Tearra Wilson

Practitioner Athletic Trainer Edmond, OK

Practice location

Address: 501 W 15th St APT 115, Edmond, OK 73013-3648
Phone: (405) 437-6149

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1023758604
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2022
Record last updated: 31 Mar 2022

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.