Individual provider · Type 1 NPI

Tammy Gore

Massage Therapist · Wellston, OK

NPI number 1134748619 Active

Practice location

304 W 2nd St
Wellston, OK 74881-9496

Mailing address

335414 E 880 Rd
Wellston, OK 74881-8247

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X144501 (OK)

Massage Therapist: 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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About NPI 1134748619

Tammy Gore's National Provider Identifier is 1134748619, issued on Apr 14, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wellston, OK. The record was last updated on Apr 14, 2020.