Individual
NANCY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 W HOUSTON ST, BROKEN ARROW, OK 74012-8303
(918) 286-3136
Mailing address
1709 N ATLANTA PL, TULSA, OK 74110-2526
(918) 720-5044
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
109153
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109153
LICENSE
OK
Enumeration date
01/08/2026
Last updated
01/08/2026
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