Individual provider · Type 1 NPI

Brook Colburn Detrick, LMT, CMLDT

Massage Therapist · Claremore, OK

NPI number 1760104525 Active

Practice location

1501 N Florence Ave
Claremore, OK 74017-3179

Call (918) 706-1302 Map

Mailing address

417 Scraper St
Catoosa, OK 74015-2509

Other practice locations

  • 1875 N Highway 66 Ste A, Catoosa, OK 74015-3072 · (918) 706-1302

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X157786 (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 1760104525

Brook Colburn Detrick, LMT, CMLDT's National Provider Identifier is 1760104525, issued on Sep 16, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Claremore, OK. The record was last updated on Sep 16, 2022.