Individual
MS. BONNIELYN ELIZABETH FITE BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1615 S EUCALYPTUS AVE, BROKEN ARROW, OK 74012
(918) 324-6201
Mailing address
6209 S 116TH EAST AVE, BROKEN ARROW, OK 74012-1250
(918) 324-6201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
182124
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182124
—
OK
Enumeration date
12/12/2023
Last updated
12/03/2025
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