MR. Brandon Scott Hetzler, ATC, LAT
NPI #1982685608 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1982685608
- Entity Type
- Individual
- Name
- MR. Brandon Scott Hetzler, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Nov 9, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1323 W 6TH AVE
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-4306
- Phone
- (405) 742-5996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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