Individual
JILLIAN HUBBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L-AT, CMT
Contact information
Practice address
3330 N MINGO RD, TULSA, OK 74116-1211
(918) 832-2404
(918) 832-2406
Mailing address
232 S 164TH EAST PL, TULSA, OK 74108-3306
(209) 648-2704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1205
OK
2255A2300X
Athletic Trainer
2000021465
CA
225700000X
Massage Therapist
20318
CA
Other
Enumeration date
02/03/2015
Last updated
04/19/2021
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