NPI 1174046510

Megan Catherine Mullins, LMT

Practitioner Massage Therapist Broken Arrow, OK

Practice location

Address: 2311 N 9th St Suite 101, Broken Arrow, OK 74012
Phone: (918) 994-6666
Mailing address: 201 S State St APT B, Wagoner, OK 74467-5205

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 173361 (OK)

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Registry record

NPI: 1174046510
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2017
Record last updated: 18 Jul 2017

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.