Michael Barlow, ATC
Individual provider Active NPI Athletic Trainer · Miami, OK
NPI 1588070486 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1588070486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT116 (OK)
- Practice address
- 200 I St NE
Miami, OK 74354-6434 - Phone
- (918) 540-6323
- NPI assigned
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT116 | OK | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT116 | OK | Yes |
Addresses
Primary practice location
200 I St NE
Miami, OK 74354-6434
Mailing address
200 I St NE
Miami, OK 74354-6434
Phone (918) 540-6323
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.