NPI 1366020331

Raina Hicks, LMT

Practitioner Massage Therapist Petoskey, MI

Practice location

Address: 2157 M 119, Petoskey, MI 49770-9042
Phone: (231) 590-9329

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501004162 (MI)

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Registry record

NPI: 1366020331
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2021
Record last updated: 31 Mar 2021

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.