IndividualActive
Garrett Kizzia, ATC
NPI 1669014494 · Athletic Trainer · Warner, OK
Provider details
- NPI number
- 1669014494
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 866 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
700 College Rd
Warner, OK 74469-2204
Phone: (918) 463-6261
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25
Braggs, OK 74423
Registry dates
- Enumerated
- 2019-10-14
- Last updated
- 2019-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.