Individual
BRANDY LUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1595 S UTICA AVE, TULSA, OK 74104-4907
(918) 922-7856
Mailing address
1595 S UTICA AVE, TULSA, OK 74104-4907
(918) 922-7856
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
199777
OK
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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