Individual
AARON MICHAEL HENNINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
LMT
Contact information
Practice address
2750 N 7TH ST APT 3622, BROKEN ARROW, OK 74012-2869
(918) 554-6144
Mailing address
2750 N 7TH ST APT 3622, BROKEN ARROW, OK 74012-2869
(918) 554-6144
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
199775
OK
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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