Individual
RAINA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2157 M 119, PETOSKEY, MI 49770-9042
(231) 590-9329
Mailing address
2157 M 119, PETOSKEY, MI 49770-9042
(231) 590-9329
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501004162
MI
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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