Individual
MR. JIMMY LEE WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4564 S HARVARD AVE STE B, TULSA, OK 74135-2918
(918) 508-2220
(918) 508-2221
Mailing address
1205 S ALLEGHENY AVE, TULSA, OK 74112-5329
(918) 845-8191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
103368
OK
Other
Enumeration date
08/18/2020
Last updated
08/31/2020
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