Individual
CAROLYN MICHELLE ADELAIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1905 S GARDENIA AVE, BROKEN ARROW, OK 74012-9041
(918) 891-1373
(918) 891-1373
Mailing address
1905 S GARDENIA AVE, BROKEN ARROW, OK 74012-9041
(918) 891-1373
(918) 891-1373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004307
MI
Other
Enumeration date
06/11/2015
Last updated
07/18/2026
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