Andrew Vos, LAT, ATC
Individual provider Active NPI Athletic Trainer · Arcadia, OK
NPI 1669859344 · NPPES record last updated Apr 30, 2015
Key facts
- NPI
- 1669859344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 461 (OK)
- Practice address
- 2 N Douglas Blvd
Arcadia, OK 73007-7207 - Phone
- (405) 620-2534
- NPI assigned
- Apr 30, 2015
- 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 |
|---|---|---|---|
| 461 | OK | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 461 | OK | Yes |
Addresses
Primary practice location
2 N Douglas Blvd
Arcadia, OK 73007-7207
Mailing address
2 N Douglas Blvd
Arcadia, OK 73007-7207
Phone (405) 620-2534
Other providers in Arcadia, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2015. 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.