NPI 1033532635

Wesley Gragg, ATCL

Practitioner Athletic Trainer Tahlequah, OK

Practice location

Address: 603 North Grand Avenue, Tahlequah, OK 74464
Phone: (918) 444-3970

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 559 (OK)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1033532635
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2014
Record last updated: 3 Feb 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.