Individual
TISHA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5301 S BODINE DR, OKLAHOMA CITY, OK 73135-1409
(409) 449-1841
Mailing address
5301 S BODINE DR, OKLAHOMA CITY, OK 73135-1409
(409) 449-1841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
173237
OK
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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