MR. John Mark Heusman, MS, LAT, ATC, CSCS
NPI #1104943547 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1104943547
- Entity Type
- Individual
- Name
- MR. John Mark Heusman, MS, LAT, ATC, CSCS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- MS, LAT, ATC, CSCS
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6201 N SANTA FE AVE
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73118-7538
- Phone
- (405) 272-5478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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