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Bethany Elise Blackwood, LMT
Massage Therapist in Stilwell, Oklahoma
NPI 1306603865

Bethany Elise Blackwood is a Massage Therapist based in Stilwell, OK. Bethany Elise Blackwood practices in Stilwell, OK and has the professional credentials of LMT. The NPI Number for Bethany Elise Blackwood is 1306603865 and holds a License No. 1056678 (Oklahoma).

The current practice location address for Bethany Elise Blackwood is 201 S 2Nd St, Stilwell, OK and can be reached out via phone at 918-575-1151.

Location: 201 S 2Nd St, Stilwell, OK, 74960-6075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306603865
Provider Name
Bethany Elise Blackwood
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
201 S 2Nd St, Stilwell, OK, 74960-6075
Phone Number
918-575-1151
Fax Number
Provider Enumeration Date
03/01/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
201 S 2Nd St
City
Stilwell
State
Oklahoma
Zip
74960-3838
Phone Number
918-575-1151
Fax Number
person
Provider Business Mailing Address Details
Address
201 S 2Nd St
City
Stilwell
State
Oklahoma
Zip
74960-3838
Phone Number
918-575-1151
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
1056678 (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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