Organization
IMAGE REDEFINED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARUNDA NICHELLE SMITH LMT (OWNER, LMT)
(405) 816-5340
Entity
Organization
Contact information
Practice address
9201 S SOONER RD, OKLAHOMA CITY, OK 73165-9618
(405) 455-7860
(405) 455-7865
Mailing address
9201 S SOONER RD, OKLAHOMA CITY, OK 73165-9618
(405) 455-7860
(405) 455-7865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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