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Individual
MICKIE HUCKE
Active
Individual
MICKIE HUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002545
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199082
DEPT OF LABOR & INDUSTRY
WA
01
—
3912HU
REGENCE BLUE SHIELD
WA
01
—
7605719
AETNA
WA
05
—
8430464
—
WA
01
—
8906542
CRIME VICTIMS
WA
Enumeration date
11/08/2006
Last updated
07/08/2007
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