Individual
REBECCA WICKENHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5360 N MESA ST STE E5, EL PASO, TX 79912-5820
(915) 345-0499
Mailing address
5360 N MESA ST STE E5, EL PASO, TX 79912-5820
(915) 345-0499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
134268
TX
373H00000X
Day Training/Habilitation Specialist
36234961
TX
Other
Enumeration date
06/03/2016
Last updated
04/08/2025
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