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Wesley Gragg, ATC/L
NPI 1033532635 · on the registry since 2014 · sole proprietor
Practice
- Address
- 603 North Grand Avenue
Tahlequah, OK 74464 - Phone
- (918) 444-3970
- Organisation at this address
- Northeastern State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma