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Individual

SHAYLA ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
306 BABB DR, OKLAHOMA CITY, OK 73110-5326
(405) 482-1217
Mailing address
306 BABB DR, OKLAHOMA CITY, OK 73110-5326
(405) 482-1217

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
135681
OK

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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