Provider Demographics
NPI:1669859344
Name:VOS, ANDREW (LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:VOS
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N DOUGLAS BLVD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:OK
Mailing Address - Zip Code:73007-7207
Mailing Address - Country:US
Mailing Address - Phone:405-620-2534
Mailing Address - Fax:
Practice Address - Street 1:2 N DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:OK
Practice Address - Zip Code:73007-7207
Practice Address - Country:US
Practice Address - Phone:405-620-2534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4612255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer