Bethany Elise Blackwood, LMT

NPI #1306603865 in Stilwell, Oklahoma

Provider Information

NPI Number
1306603865
Entity Type
Individual
Name
Bethany Elise Blackwood, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 1, 2024
Last Updated
Mar 1, 2024

Practice Location

Address
201 S 2ND ST
ZIP Code
74960-3838
Phone
(918) 575-1151

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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