IndividualActive
Chandra Justice, MMP
NPI 1003394263 · Massage Therapist · Tishomingo, OK
Provider details
- NPI number
- 1003394263
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 157062 (OK)
Mailing address
807 N Byrd St
Tishomingo, OK 73460-1411
Registry dates
- Enumerated
- 2018-07-31
- Last updated
- 2018-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.