NPI 1568356152

Miranda a Ickler

Practitioner Health & Wellness Coach Saint Louis, MO

Practice location

Address: 12521 Marine Ave, Saint Louis, MO 63146-2411
Phone: (314) 806-1248
Mailing address: 2266 Rule Ave APT D, Maryland Heights, MO 63043-1430

Registered specialties

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Registry record

NPI: 1568356152
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2025
Record last updated: 12 Jun 2025

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.