NPI 1073919585
Manuel J Quintanilla, LMTAC
Practice location
- Address
- 9242 S Sheridan Rd Suite 209, Tulsa, OK 74133-5435
- Phone
- (918) 408-6997
- Mailing address
- 300 W 1st Ave, Bristow, OK 74010-3208
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1073919585
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Nov 2014
- Record last updated
- 10 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.