Individual
RONNIE JO WOLTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 E 21ST ST, TULSA, OK 74114-1705
(918) 500-9653
Mailing address
2511 E 21ST ST, TULSA, OK 74114-1705
(918) 500-9653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
204011
OK
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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