IndividualActive
Bethany Blackwood, LMT
NPI 1306603865 · Massage Therapist · Stilwell, OK
Provider details
- NPI number
- 1306603865
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1056678 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
201 S 2nd St
Stilwell, OK 74960-3838
Phone: (918) 575-1151
Approximate (ZIP-level) locationGet directions
Mailing address
465436 E 783 Rd
Stilwell, OK 74960-6075
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.