Search › Oklahoma › Athletic Trainer
Roger Kollock, ATC
NPI 1922057264 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2405 S 14th St
Broken Arrow, OK 74012 - Phone
- (423) 943-1528
Additional practice sites
- 1440 Suncrest Dr, Gray, TN
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-27
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