Tammy Gore

NPI #1134748619 in Wellston, Oklahoma

Provider Information

NPI Number: 1134748619
Entity Type: Individual
Name: Tammy Gore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Apr 14, 2020
Last Updated: Apr 14, 2020

Practice Location

Address: 304 W 2ND ST
City: Wellston
State: Oklahoma
ZIP Code: 74881-9496
Phone: (405) 635-5097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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