Individual
ALEXIS J HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
876 W 7TH ST APT 324O, SAINT PAUL, MN 55102-3732
(305) 713-2031
Mailing address
876 W 7TH ST APT 324O, SAINT PAUL, MN 55102-3732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00005751
MN
225700000X
Massage Therapist
MA97528
FL
Other
Enumeration date
09/16/2021
Last updated
08/01/2023
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