Individual
TORI BROOKE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 1/2 SW 2ND ST, CHECOTAH, OK 74426-4635
(918) 843-6709
Mailing address
504 1/2 SW 2ND ST, CHECOTAH, OK 74426-4635
(918) 843-6709
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
11/05/2025
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