Individual provider · Type 1 NPI

John Mark Heusman, MS, LAT, ATC, CSCS

Specialist · Oklahoma City, OK

NPI number 1104943547 Active

Practice location

6201 N Santa Fe Ave
Oklahoma City, OK 73118-7538

Call (405) 272-5478 Map

Mailing address

8320 NW 111th Ter
Oklahoma City, OK 73162-2100

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT-82 (OK)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104943547

John Mark Heusman, MS, LAT, ATC, CSCS's National Provider Identifier is 1104943547, issued on Mar 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 8, 2007.