MRS. MALLERY GRAY GANNAWAY AA
NPI 1306353685
Specialist/Technologist - Athletic Trainer in Oklahoma City, OK

Active since January 08, 2018
12301 N MACARTHUR BLVD APT 304, OKLAHOMA CITY, OK 73142(405) 406-7112 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mallery Gray Gannaway Aa NPPES

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

MRS. MALLERY GRAY GANNAWAY AA (NPI 1306353685) is an individual athletic trainer provider in Oklahoma City, Oklahoma and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1306353685
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. MALLERY GRAY GANNAWAYCredential: AA
Location Address12301 N MACARTHUR BLVD APT 304Oklahoma City, OK 73142-3039
Mailing Address12301 N Macarthur Blvd Apt 304Oklahoma City, OK 73142-3039 · (405) 406-7112
Sole ProprietorYes
Enumeration DateJanuary 8, 2018
NPI 1306353685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 737 (OK)
12301 N MACARTHUR BLVD APT 304, Oklahoma City, OK 73142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallery Gannaway's NPI number?

The NPI number for Mallery Gannaway is 1306353685. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Mallery Gannaway located?

Mallery Gannaway practices at 12301 N Macarthur Blvd Apt 304, Oklahoma City, OK 73142. The listed phone number is (405) 406-7112.

What is Mallery Gannaway's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mallery Gannaway was last updated on January 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.