NPI 1326413840

Cheryl Lynn Wickham

Practitioner Reflexologist South Lyon, MI

Practice location

Address: 105 N Lafayette St STE 100, South Lyon, MI 48178-1921
Phone: (248) 437-9642

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 7501000172 (MI)

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Registry record

NPI: 1326413840
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2015
Record last updated: 9 Dec 2015

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.