IndividualActive
Alec Puckett
NPI 1538836739 · Student in an Organized Health Care Education/Training Program · Tulsa, OK
Provider details
- NPI number
- 1538836739
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1215 S Boulder Ave
Tulsa, OK 74119-2842
Phone: (918) 631-2619
Approximate (ZIP-level) locationGet directions
Mailing address
13401 S 87th East Ave
Bixby, OK 74008-3443
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.