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Adrian Lamar Prophet, LMT
Massage Therapist in Edmond, Oklahoma
NPI 1013543719

Adrian Lamar Prophet is a Massage Therapist based in Moore, OK. Adrian Lamar Prophet practices in Edmond, OK and has the professional credentials of LMT. The NPI Number for Adrian Lamar Prophet is 1013543719 and holds a License No. 182962 (Oklahoma).

The current practice location address for Adrian Lamar Prophet is 115 W 15Th St Ste B, Edmond, OK and can be reached out via phone at 405-535-6339. You can also correspond with Adrian Lamar Prophet through the mailing address at 417 MADISON CT, MOORE, OK - 73160-6744 (mailing address contact number: ).

Location: 115 W 15Th St Ste B, Edmond, OK, 73160-6744
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Provider Profile Details
NPI Number
1013543719
Provider Name
Adrian Lamar Prophet
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
115 W 15Th St Ste B, Edmond, OK, 73160-6744
Phone Number
405-535-6339
Fax Number
Provider Enumeration Date
03/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182962 01 OK MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
115 W 15Th St Ste B
City
State
Zip
73013-3642
Phone Number
405-535-6339
Fax Number
person
Provider Business Mailing Address Details
Address
115 W 15Th St Ste B
City
State
Zip
73013-3642
Phone Number
405-535-6339
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
182962 (Oklahoma)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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