Individual
SARA BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
836 SE 12TH ST, MOORE, OK 73160-7221
(918) 351-3963
Mailing address
836 SE 12TH ST, MOORE, OK 73160-7221
(918) 351-3963
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
864782
OK
Other
Enumeration date
11/14/2020
Last updated
11/14/2020
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