Individual provider · Type 1 NPI

Carolyn Michelle Adelaide, LMT

Massage Therapist · Broken Arrow, OK

NPI number 1831570167 Active

Practice location

1905 S Gardenia Ave
Broken Arrow, OK 74012-9041

Call (918) 891-1373 Map

Fax (918) 891-1373

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501004307 (MI)

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 1831570167

Carolyn Michelle Adelaide, LMT's National Provider Identifier is 1831570167, issued on Jun 11, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 18, 2026.