TREK RUNDLE
NPI 1104363688
Student in an Organized Health Care Education/Training Program in Elk City, OK

Active since January 23, 2017
19926 E 1140 RD, ELK CITY, OK 73644(580) 334-4948 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Trek Rundle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREK RUNDLE (NPI 1104363688) is an individual student in an organized health care education/training program in Elk City, Oklahoma and active in the NPI registry since January 2017.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1104363688
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTREK RUNDLE
Location Address19926 E 1140 RDElk City, OK 73644-2464
Mailing Address19926 E 1140 RdElk City, OK 73644-2464
Sole ProprietorYes
Enumeration DateJanuary 23, 2017
NPI 1104363688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
19926 E 1140 RD, Elk City, OK 73644

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104363688, enumerated as an "individual" on January 23, 2017.

The provider is located at 19926 E 1140 RD ELK CITY, OK 73644 and the phone number is (580) 334-4948.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.