MEDICARE: WHITNEY A TUCKER MAT, LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	632	OK

General Provider Information

NPI Number	:	1306678834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY A TUCKER MAT, LAT, ATC

Provider Business Mailing Address
First Line	:	16755 N 350 RD
Second Line	:
City	:	BOYNTON
State	:	OK
Zip	:	74422-6100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 S 6TH ST
Second Line	:
City	:	MORRIS
State	:	OK
Zip	:	74445-4816
Country	:	US
Telephone Number	:	918-733-9072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/14/2024

Similar Medicare Providers

1164662227 — DR. MARIA CARMEN RESTO PSY.D.
Practice Location Address:

46 CALLE AGUADILLA PEREZ MORRIS
SAN JUAN, PR
00917-4816

Practice Phone: 787-765-6184
Practice Fax: 787-765-6184

1336245182 — MORRIS PUBLIC SCHOOLS
Practice Location Address:

307 S 6TH ST
MORRIS, OK
74445-4815

Practice Phone: 918-733-4219
Practice Fax: 918-733-9215

1376848051 — NEW GENERATION THERAPY, LLC
Practice Location Address:

105 E PEKIN AVE
MORRIS, OK
74445-2233

Practice Phone: 918-629-9570
Practice Fax:

1891094710 — PINNACLE HEALTHCARE SOLUTIONS, LLC
Practice Location Address:

17565 REDBUD LN
MORRIS, OK
74445-2354

Practice Phone: 918-978-9177
Practice Fax:

1538532346 — BONNIE WEST R.N., B.S.N
Practice Location Address:

307 S 6TH ST
MORRIS, OK
74445-4815

Practice Phone: 918-733-4219
Practice Fax:

1104343979 — MRS. TAMMY LEA SPURRIER CCC-SLP
Practice Location Address:

307 S 6TH ST
MORRIS, OK
74445-4815

Practice Phone: 918-733-4219
Practice Fax: 918-733-9215

Directions to “ WHITNEY A TUCKER MAT, LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.