Individual
TIFFANY GAIL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2016 W HOUSTON ST, BROKEN ARROW, OK 74012-8303
(918) 286-3136
(918) 286-3056
Mailing address
2016 W HOUSTON ST, BROKEN ARROW, OK 74012-8303
(918) 286-3136
(918) 286-3056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
208066
OK
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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