Individual
LACEY HULME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2103 S MAIN ST STE N, ELK CITY, OK 73644-9167
(580) 243-0700
(580) 243-0700
Mailing address
PO BOX 40, ELK CITY, OK 73648-0040
(580) 243-0700
(580) 243-0771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
190321
OK
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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