Healthcare Provider Details

I. General information

NPI: 1558325100
Provider Name (Legal Business Name): SYDNEY GAYLE RINGER MS, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E MEMORIAL RD
EDMOND OK
73013-5525
US

IV. Provider business mailing address

21874 N COUNCIL RD
EDMOND OK
73003-9510
US

V. Phone/Fax

Practice location:
  • Phone: 405-425-1961
  • Fax: 405-425-1962
Mailing address:
  • Phone: 405-535-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT 108
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: