Gragg, Wesley

Gragg, Wesley is an sole proprietor health care provider with primary practice located at 603 North Grand Avenue , Tahlequah OK 74464. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gragg, Wesley can be contacted via phone (918) 444-3970.

Contact Information

Primary practice address
603 North Grand Avenue Tahlequah OK 74464
Phone: (918) 444-3970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 559 Oklahoma

Profile Details

NPI number 1033532635
LBN Legal business name Gragg, Wesley
Credentials ATC/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2014
Last updated Feb 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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