Individual
JENNIFER HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
118 N MAIN ST, ALTUS, OK 73521-3102
(805) 857-2871
Mailing address
PO BOX 388, CACHE, OK 73527-0388
(805) 857-2871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
191261
OK
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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