Provider Demographics
NPI:1497973200
Name:CAREY, S SOMER (BS, NASM-CPT)
Entity Type:Individual
Prefix:MRS
First Name:S
Middle Name:SOMER
Last Name:CAREY
Suffix:
Gender:F
Credentials:BS, NASM-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 RENAISSANCE BLVD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3023
Mailing Address - Country:US
Mailing Address - Phone:405-359-2472
Mailing Address - Fax:405-359-2496
Practice Address - Street 1:1800 RENAISSANCE BLVD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3023
Practice Address - Country:US
Practice Address - Phone:405-359-2472
Practice Address - Fax:405-359-2496
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer