Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phillip Tucker, ATC, LAT

Individual provider Athletic Trainer · NPI 1730553512

Phillip Tucker, ATC, LAT is an Athletic Trainer in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

12613 S Western Ave
Oklahoma City, OK 73170-6903
Phone: (405) 735-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 695 (OK)

Record details

NPI number1730553512
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedNovember 17, 2015
Last updated in NPPESNovember 17, 2015

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