Individual
MEAGHAN ELYSE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9957 S 79TH EAST AVE, TULSA, OK 74133-7023
(619) 977-5047
Mailing address
9957 S 79TH EAST AVE, TULSA, OK 74133-7023
(619) 977-5047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
200515
OK
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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