NPI 1104638972

Jessica Leeann Edens, LMT

Practitioner Massage Therapist Oklahoma City, OK

Practice location

Address: 4901 SE 139th St, Oklahoma City, OK 73165-7422
Phone: (405) 651-3626

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 157407 (OK)

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Registry record

NPI: 1104638972
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2025
Record last updated: 21 Jan 2025

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.