OrganizationActive
Amattco LLC
NPI 1477009256 · Specialist · Broken Arrow, OK
Provider details
- NPI number
- 1477009256
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Amattco LLC
- Organization subpart
- Yes
- Authorized official
- David Ryker, Supervising Physican(405) 751-9800
- License
- 9365 (OK)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3100 S Elm Pl
Suite B
Broken Arrow, OK 74012-7950
Phone: (918) 884-7800
Fax: (918) 731-4518
Approximate (ZIP-level) locationGet directions
Mailing address
3705 West Memorial Rd
Oklahoma City, OK 73134-1512
Other names (DBA / former)
- Doing business as
- New Leaf Wellness Center
Registry dates
- Enumerated
- 2016-08-31
- Last updated
- 2016-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.