| Patricia Elena Sifuentes, LMT, MLD-C | |
|
14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 | |
| (918) 385-1177 | |
| Not Available |
| Full Name | Patricia Elena Sifuentes |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 14901 N Pennsylvania Ave, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679930283 | NPI | - | NPPES |
| 810815010 | Other | OK | LICENSED MASSAGE THERAPIST |
| MT109063 | Other | TX | LISENCED MASSAGE THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT109063 (Texas) | Primary |
| 226300000X | Kinesiotherapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Elena Sifuentes, LMT, MLD-C 10105 Carnie Cir, Yukon, OK 73099-8309 Ph: (918) 385-1177 | Patricia Elena Sifuentes, LMT, MLD-C 14901 N Pennsylvania Ave, Oklahoma City, OK 73134-6069 Ph: (918) 385-1177 |
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