CHRISTY MARIE KERFOOT-TIDWELL ATC, LAT
NPI 1548196082
Specialist/Technologist - Athletic Trainer in Alva, OK

Active since June 22, 2026
709 OKLAHOMA BLVD, ALVA, OK 73717(580) 829-2632 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christy Marie Kerfoot-tidwell Atc, Lat NPPES

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

CHRISTY MARIE KERFOOT-TIDWELL ATC, LAT (NPI 1548196082) is an individual athletic trainer provider in Alva, Oklahoma, licensed in Oklahoma (1352) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1548196082
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameCHRISTY MARIE KERFOOT-TIDWELLCredential: ATC, LAT
Location Address709 OKLAHOMA BLVDAlva, OK 73717-2749
Mailing Address56254 Jefferson RdBurlington, OK 73722-4615
Sole ProprietorYes
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1548196082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in OK · 1352
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.

709 OKLAHOMA BLVD, Alva, OK 73717

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
709 OKLAHOMA BLVD
ALVA, OK 73717
Contractor
709 OKLAHOMA BLVD
ALVA, OK 73717
Specialist/Technologist (Athletic Trainer)
709 OKLAHOMA BLVD
ALVA, OK 73717

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548196082, enumerated as an "individual" on June 22, 2026.

The provider is located at 709 OKLAHOMA BLVD ALVA, OK 73717 and the phone number is (580) 829-2632.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.