Brook Colburn Detrick, LMT, CMLDT

NPI #1760104525 in Claremore, Oklahoma

Provider Information

NPI Number: 1760104525
Entity Type: Individual
Name: Brook Colburn Detrick, LMT, CMLDT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, CMLDT
Enumeration Date: Sep 16, 2022
Last Updated: Sep 16, 2022

Practice Location

Address: 1501 N FLORENCE AVE
City: Claremore
State: Oklahoma
ZIP Code: 74017-3179
Phone: (918) 706-1302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

Additional Practice Locations

1875 N Highway 66 Ste A

Catoosa, OK, 74015-3072

(918) 706-1302

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