Individual
LETA IKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 UNION SQ NW, HICKORY, NC 28601-6110
(828) 322-8008
Mailing address
204 UNION SQ NW, HICKORY, NC 28601-6110
(828) 322-8008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10812
NC
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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