NPI 1427603026
Mikaela Licht
Practice location
- Address
- 4310 Cedar Ridge Pl. APT #5, Rapid City, SD 57702
- Phone
- (605) 545-2594
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1427603026
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Aug 2019
- Record last updated
- 9 Aug 2019
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.