Individual
SHARON ROSE CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
408 S MAPLE ST, FAIRFIELD, IA 52556-3740
(641) 451-0465
Mailing address
602 N MAIN ST, FAIRFIELD, IA 52556-2236
(914) 482-3027
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
Primary
128118
IA
225700000X
Massage Therapist
MSG011973
PA
Other
Enumeration date
09/03/2020
Last updated
08/29/2025
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