Individual provider · Type 1 NPI

Lan Wang

Massage Therapist · Broken Arrow, OK

NPI number 1790695153 Active

Practice location

6505 S Elm Pl
Broken Arrow, OK 74011-6629

Call (918) 907-8881 Map

Mailing address

11742 S Redbud St
Jenks, OK 74037-4319

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X182761 (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 1790695153

Lan Wang's National Provider Identifier is 1790695153, issued on Sep 9, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Broken Arrow, OK. The record was last updated on Sep 13, 2026.