Provider Demographics
NPI:1568620235
Name:DUPLER, DALEEN LEWELLEN (CMT)
Entity Type:Individual
Prefix:
First Name:DALEEN
Middle Name:LEWELLEN
Last Name:DUPLER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 N CLASSEN BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2421
Mailing Address - Country:US
Mailing Address - Phone:405-209-9842
Mailing Address - Fax:405-528-3644
Practice Address - Street 1:817 W FORSTER DR
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-3719
Practice Address - Country:US
Practice Address - Phone:405-209-9842
Practice Address - Fax:405-376-9573
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist