Provider Demographics
NPI:1942689922
Name:REUBEN, CACEE (ATC)
Entity type:Individual
Prefix:
First Name:CACEE
Middle Name:
Last Name:REUBEN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-6904
Mailing Address - Country:US
Mailing Address - Phone:405-858-0097
Mailing Address - Fax:405-858-0119
Practice Address - Street 1:3401 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-6904
Practice Address - Country:US
Practice Address - Phone:405-858-0097
Practice Address - Fax:405-858-0119
Is Sole Proprietor?:No
Enumeration Date:2015-05-25
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer