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General NPI Number Information
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NPI Number | 1528963253
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Entity Type | Organization
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Legal Business Name | WILD ROSE WELLNESS & DAY SPA
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 3934 NW 36TH ST BLDG 2
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2954
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Country | US
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Telephone | 405-254-7599
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Fax |
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Provider Business Mailing Address
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Address Line | 3934 NW 36TH ST BLDG 2
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2954
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Country | US
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Telephone | 405-254-7599
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST/OWNER
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Name | HOLLY FARLEY
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Credential | LMT
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Telephone | 405-824-4221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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