Blackwood, Bethany Elise

Blackwood, Bethany Elise is an sole proprietor health care provider with primary practice located at 201 S 2Nd St , Stilwell OK 74960-3838. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Blackwood, Bethany Elise can be contacted via phone (918) 575-1151.

Contact Information

Primary practice address
201 S 2Nd St Stilwell OK 74960-3838
Phone: (918) 575-1151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1056678 Oklahoma

Profile Details

NPI number 1306603865
LBN Legal business name Blackwood, Bethany Elise
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2024
Last updated Mar 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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