Individual provider · Type 1 NPI
Bethany Elise Blackwood, LMT
Massage Therapist · Stilwell, OK
NPI number
1306603865
Active
Practice location
201 S 2nd St
Stilwell, OK 74960-3838
Mailing address
465436 E 783 Rd
Stilwell, OK 74960-6075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 1056678 (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.
4 other providers at this address
Other massage therapist providers in Stilwell
About NPI 1306603865
Bethany Elise Blackwood, LMT's National Provider Identifier is 1306603865, issued on Mar 1, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stilwell, OK. The record was last updated on Mar 1, 2024.