MR. BRANDON SCOTT HETZLER (NPI# 1982685608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982685608 |
| Entity Type | Individual |
| Full Name | MR. BRANDON SCOTT HETZLER |
| Credential | ATC, LAT |
| Practice Address |
1323 W 6th Ave Stillwater OK 74074-4306 |
| Practice Telephone | 4057425996 |
| Mailing Telephone | 4057425996 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT264 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1323 W 6TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508146 | Aimee Marie Kehres | Registered Nurse | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2020-08-11 |
| 1144868688 | Megan Kelly | Dietitian, Registered | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2019-12-16 |
| 1295394757 | Amber Noel Burnett | Registered Nurse | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2019-06-10 |
| 1437610094 | Kyndell Denise Weder | Physician Assistant | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2019-03-27 |
| 1124545538 | Emily Emerson | Dietitian, Registered | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2017-08-25 |
| 1134660210 | Osu Center for Health Sciences | Clinic/Center | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2017-03-09 |
| 1548616295 | Cassie Elizabeth Davis | Registered Nurse | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2016-05-12 |
| 1013392737 | Debra O'day | Nurse Practitioner | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2015-07-23 |
| 1700295136 | Sarah Walker | Dietitian, Registered | 1323 W 6th Ave, Stillwater, OK 74074 | 2014-08-11 |
| 1487991659 | Emily Renee Schovanec | Physical Therapist | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2013-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658301 | James Kenneth Jefferson | Specialist/Technologist | 200 Athletic Center Gallagher Iba Arena, Stillwater, OK 74078-0001 | 2019-09-17 |
| 1235603192 | Antonio La Don Davis | Specialist/Technologist | 820 1/2 S Knoblock St, Stillwater, OK 74074-4528 | 2019-01-14 |
| 1184107617 | Koki Ozawa | Specialist/Technologist | Oklahoma State University Athletics Center, Stillwater, OK 74078-0001 | 2018-09-11 |
| 1407349806 | Emma Kathryn Stratmoen | Specialist/Technologist | 1140 Creekside Cir, Stillwater, MN 55082-9651 | 2018-06-11 |
| 1598212201 | Alicea Emily Taylor-meza | Specialist/Technologist | 200 Athletic Center, Stillwater, OK 74078-4635 | 2016-09-10 |
| 1265888960 | Cady Coshow | Specialist/Technologist | 213 W Elm Ave, Apt 219, Stillwater, OK 74074-3300 | 2016-05-11 |
| 1770943078 | Samantha Ann Wagner | Specialist/Technologist | 170 Athletic Ctr, Stillwater, OK 74078-0001 | 2016-02-29 |
| 1659738136 | Courtney Anne Putnam | Specialist/Technologist | 2625 S Cambridge Dr, Stillwater, OK 74074-2246 | 2016-01-28 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1477930428 | Claire Williams | Specialist/Technologist | 170f Athletics Center, Stillwater, OK 74078 | 2015-04-29 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.