Individual
DEREK D JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1935 S HARVARD AVE, TULSA, OK 74112-6827
(918) 640-3857
Mailing address
1935 S HARVARD AVE, TULSA, OK 74112-6827
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NO STATE LICENSE
OK
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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