Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lavern Jennie Sullins, LMT, MLD-C

Individual provider Massage Therapist · NPI 1558185918

Mrs. Lavern Jennie Sullins, LMT, MLD-C is a Massage Therapist in Owasso, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

8514 N 128th East Ave
Owasso, OK 74055-6242
Phone: (316) 833-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 157239 (OK)

Record details

NPI number1558185918
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , MLD-C
Sole proprietorYes
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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