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PHILLIP TUCKER ATC, LAT
NPI 1730553512
Specialist/Technologist - Athletic Trainer in Oklahoma City, OK

Active since November 17, 2015
12613 S WESTERN AVE, OKLAHOMA CITY, OK 73170(405) 735-4800 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip Tucker Atc, Lat NPPES

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

PHILLIP TUCKER ATC, LAT (NPI 1730553512) is an individual athletic trainer provider in Oklahoma City, Oklahoma, licensed in Oklahoma (695) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1730553512
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NamePHILLIP TUCKERCredential: ATC, LAT
Location Address12613 S WESTERN AVEOklahoma City, OK 73170-6903
Mailing Address2609 Se 7th StMoore, OK 73160-6776 · (580) 214-0782
Phone(405) 735-4800
Sole ProprietorYes
Enumeration DateNovember 17, 2015
✔ NPI 1730553512 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 · 695
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.
12613 S WESTERN AVE, Oklahoma City, OK 73170
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Other Providers at the Same Location NPPES

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

MRS. DEANNA WASSON MSW
Social Worker
12613 S WESTERN AVE
OKLAHOMA CITY, OK 73170
Cleveland County (405) 735-4891

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 Phillip Tucker's NPI number?

The NPI number for Phillip Tucker is 1730553512. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Phillip Tucker located?

Phillip Tucker practices at 12613 S Western Ave, Oklahoma City, OK 73170. The listed phone number is (405) 735-4800.

What is Phillip Tucker'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 Phillip Tucker was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.