Shiro Andrew Okazaki
Individual provider Active NPI Massage Therapist · Oilton, OK
NPI 1326446014 · NPPES record last updated Dec 11, 2014
Key facts
- NPI
- 1326446014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 402 N. Campbell Ave.
Oilton, OK 74052-0726 - Phone
- (918) 264-8486
- NPI assigned
- Dec 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
402 N. Campbell Ave.
Oilton, OK 74052-0726
Mailing address
P.O. Box 726
Oilton, OK 74052-0726
Phone (918) 264-8486
Other providers in Oilton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.