Individual
MS. LOIS HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
108 KOEHLER ST, ETNA, PA 15223-1634
(412) 822-7716
Mailing address
108 KOEHLER ST, ETNA, PA 15223-1634
(412) 822-7716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG000553
PA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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