Individual provider · Type 1 NPI

Brian Lee Coley, ATC/LAT

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1780648147 Active

Practice location

3905 S Hudson Ave
Tulsa, OK 74135-5607

Call (918) 627-3390 Map

Fax (918) 664-2134

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XAT94 (OK)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780648147

Brian Lee Coley, ATC/LAT's National Provider Identifier is 1780648147, issued on Apr 13, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 13, 2026.