Individual
JESSICA ANN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6321 E 102ND ST, TULSA, OK 74137-7044
(918) 884-7571
Mailing address
2401 W OMAHA ST APT 2524, BROKEN ARROW, OK 74012-0656
(918) 812-0527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
195006
OK
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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