Individual
RAEANNA STREATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 E INDEPENDENCE ST STE B, SHAWNEE, OK 74804-4037
(405) 765-4209
Mailing address
722 E INDEPENDENCE ST STE B, SHAWNEE, OK 74804-4037
(405) 765-4209
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
300202
OK
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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