NPI 1063816817

James Bloomcamp, ATC

Practitioner Athletic Trainer Tahlequah, OK

Practice location

Address: 600 N Grand Ave, Tahlequah, OK 74464-2301
Phone: (918) 444-3921
Mailing address: 1103 Chase Ave, Tahlequah, OK 74464-5294

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT339 (OK)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1063816817
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Oct 2014
Record last updated: 22 Oct 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.