Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN L DETWEILER, ATC, PTA
Active Sole ProprietorEDWIN L DETWEILER, ATC, PTA is a Athletic Trainer healthcare provider located in WEATHERFORD, Oklahoma. NPI 1144539685 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WEATHERFORD, OK
Registration Details
- NPI Number
- 1144539685
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2010 (15.827634763525 yrs)
- Last Updated
- Nov 22, 2011
- Licenses
-
1021 (OK)624 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 CAMPUS DRWEATHERFORD, OK, 730963001Browse OK providers · Browse ZIP 73096
- Phone
- 8646164448
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in WEATHERFORD, OK
| Name | Credential | NPI |
|---|---|---|
| MR. KRIS MAHLOCK | MS, ATC, LAT | 1205926425 |
| JONATHAN PERRY HART | ATC | 1235270638 |
| KALYP OLIVER | M.ED., LAT, ATC | 1427469741 |
| COURTNEY HARPER | — | 1679969570 |
| RANDA HOLLANDSWORTH | ATC, LAT | 1932586286 |
| BRANDON JOE POUNDS | ATC | 1568979623 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.