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

Individual provider Athletic Trainer · NPI 1023758604

Tearra Wilson is an Athletic Trainer in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

501 W 15th St Apt 115
Edmond, OK 73013-3648
Phone: (405) 437-6149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1023758604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 29, 2022
Mailing address501 W 15th St Apt 115, Edmond, OK 73013-3648

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