Individual
STEPHANIE BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE
Contact information
Practice address
1428 OKLAHOMA AVE, WOODWARD, OK 73801-4457
(580) 967-0742
Mailing address
204565 E COUNTY ROAD 45 LOT 27, WOODWARD, OK 73801-6228
(580) 374-2748
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
194212
OK
Other
Enumeration date
03/15/2023
Last updated
01/21/2024
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