Individual
MRS. LISA MCAULIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
809 W DECATUR ST, BROKEN ARROW, OK 74011-6021
(918) 805-6631
Mailing address
809 W DECATUR ST, BROKEN ARROW, OK 74011-6021
(918) 805-6631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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