NPI 1336685726

Riley Rush, ATCLAT

Practitioner Athletic Trainer Ada, OK

Practice location

Address: 1100 E 14th St, Ada, OK 74820-6915
Phone: (580) 559-5532
Mailing address: 1600 S Harkrider St, Conway, AR 72032-8066

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 904 (AR)

Other Specialist/Technologist providers in Oklahoma →

Registry record

NPI: 1336685726
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2017
Record last updated: 3 Feb 2021

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.