Individual
MEGAN CATHERINE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2311 N 9TH ST, SUITE 101, BROKEN ARROW, OK 74012
(918) 994-6666
Mailing address
201 S STATE ST APT B, WAGONER, OK 74467-5205
(918) 350-8244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
173361
OK
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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