NPI 1760104525

Brook Colburn Detrick, LMTCMLDT

Practitioner Massage Therapist Claremore, OK

Practice location

Address: 1501 N Florence Ave, Claremore, OK 74017-3179
Phone: (918) 706-1302
Mailing address: 417 Scraper St, Catoosa, OK 74015-2509

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 157786 (OK)

Other Massage Therapist providers in Oklahoma →

Registry record

NPI: 1760104525
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2022
Record last updated: 16 Sep 2022

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.