NPI 1003512385

Renise Mickey, MT

Practitioner Massage Therapist Highland, IN

Practice location

Address: 9219 Indianapolis Blvd STE 204, Highland, IN 46322-2573
Phone: (219) 501-6575
Mailing address: 7550 Columbia Ave APT 5, Hammond, IN 46324-3059

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT21806622 (IN)

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Registry record

NPI: 1003512385
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2023
Record last updated: 7 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.