Individual
MISTY CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2103 S MAIN ST STE N, ELK CITY, OK 73644-9167
(580) 243-0700
(580) 243-0770
Mailing address
2103 S MAIN ST STE N, ELK CITY, OK 73644-9167
(580) 243-0700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
105918
OK
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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