Individual
JUDITH MARGA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT,LMT
Contact information
Practice address
2324 COUNTY STREET 2990, BLANCHARD, OK 73010-3609
(405) 889-0691
Mailing address
2324 COUNTY STREET 2990, BLANCHARD, OK 73010-3609
(405) 889-0691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
173761
OK
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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