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MRS. MALLERY GRAY GANNAWAY AA NPI 1306353685


NPI Information

NPI: 1306353685
Provider Name: MRS. MALLERY GRAY GANNAWAY, AA
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Individual

Specialization: Athletic Trainer

Address:
12301 N MACARTHUR BLVD APT 304
OKLAHOMA CITY, OK
ZIP 73142
Phone: (405) 406-7112
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MRS. Mallery Gray Gannaway, AA is an athletic trainer specialist technologist in Oklahoma City, OK. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. MRS. Mallery Gray Gannaway, AA NPI is 1306353685. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12301 N MACARTHUR BLVD APT 304
OKLAHOMA CITY, OK
ZIP 73142-039
Phone: (405) 406-7112

The enumeration date for this NPI number is 1/8/2018 and was last updated on 1/8/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic TrainerOKLAHOMAYes
2390200000XStudent in an Organized Health Care Education/Training Program737OKLAHOMANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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