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General NPI Number Information
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NPI Number | 1790369767
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Entity Type | Individual
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Provider Name | KRISTYN JANAE HOWE LMT, CPMT, MMT, CPT
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Gender | Female
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 12820 S MEMORIAL DR STE 115
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City | BIXBY
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State | OK
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Zip | 74008-2584
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Country | US
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Telephone | 918-895-9098
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Fax |
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Provider Business Mailing Address
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Address Line | 11507 S ERIE AVE
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City | TULSA
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State | OK
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Zip | 74137-8012
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Country | US
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Telephone | 918-895-9098
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 104416
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License Number State | OK
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