Organization
MODERN BALANCE PROFESSIONAL MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRI DANIELLE CUDE LMT (OWNER/THERAPIST)
(479) 883-9390
Entity
Organization
Contact information
Practice address
101 SW 9TH STREET, MULDROW, OK 74948
(479) 883-9390
Mailing address
PO BOX 783, MULDROW, OK 74948-0783
(479) 883-9390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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