Individual
MRS. APRIL LYNN WIGLEY-ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
119 N BROADWAY AVE STE 10, ADA, OK 74820
(580) 235-8047
Mailing address
4316 TRINITY DR, SHAWNEE, OK 74804-8965
(580) 235-8047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
172582
OK
225700000X
Massage Therapist
MT103888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172582
OK STATE BOARD OF COSMETOLOGY
OK
01
—
MT103888
STATE OF TEXAS
TX
Enumeration date
04/05/2013
Last updated
05/21/2019
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