Provider Demographics
NPI:1093827271
Name:PLOEGER, ROBIN LYNN (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LYNN
Last Name:PLOEGER
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 TUCKER DR
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-9700
Mailing Address - Country:US
Mailing Address - Phone:918-631-3170
Mailing Address - Fax:
Practice Address - Street 1:800 TUCKER DR
Practice Address - Street 2:CHAPMAN HALL 355
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-9700
Practice Address - Country:US
Practice Address - Phone:918-631-3170
Practice Address - Fax:918-631-2068
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKAT 1462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer