| NPI | 1578220067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE OLIVER Owner/Therapist 405-570-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |