Sole'renity Spa, Inc.

NPI #1215602065 in Sulphur, Oklahoma

Provider Information

NPI Number: 1215602065
Entity Type: Organization
Organization Name: Sole'renity Spa, Inc.
Primary Specialty: Massage Therapist
Enumeration Date: Aug 13, 2021
Last Updated: Aug 13, 2021

Practice Location

Address: 1001 W 1ST ST
City: Sulphur
State: Oklahoma
ZIP Code: 73086-4818
Phone: (580) 622-8128

Authorized Official

Name: RHONDA CAROL PITMON
Title: PRESIDENT/DIRECTOR
Phone: (940) 736-5054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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