| NPI | 1932059631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CLARK Owner, Athletic Trainer 405-778-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2026-02-02 |
| Last Update Date | 2026-02-02 |