Individual
LESLIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12142 S YUKON AVE, GLENPOOL, OK 74033-6621
(918) 417-7773
Mailing address
12142 S YUKON AVE, GLENPOOL, OK 74033-6621
(918) 417-7773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
T080757408
OK
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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