Individual
MISS CHESNA PHILI HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1414 ARLINGTON ST STE 1500, ADA, OK 74820-2643
(580) 279-1788
(580) 498-0190
Mailing address
36975 COUNTY ROAD 1610, TUPELO, OK 74572-5097
(580) 399-7008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
158538
OK
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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