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Organization
MELISSA'S KNEADED TOUCH, LLC
Active
Organization
MELISSA'S KNEADED TOUCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA D HICKMAN LMT, CPT (MANAGER)
(850) 832-3758
Entity
Organization
Contact information
Practice address
106 CRESTWOOD LN, WEWAHITCHKA, FL 32465-3133
(850) 832-3758
Mailing address
106 CRESTWOOD LN, WEWAHITCHKA, FL 32465-3133
(850) 832-3758
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA77498
FL
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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