Individual
SHELIA ANN JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1108 NW EUCLID AVE, LAWTON, OK 73507-6557
(614) 657-8673
Mailing address
1108 NW EUCLID AVE, LAWTON, OK 73507-6557
(614) 657-8673
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
192494
OK
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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