Individual
ELISE STICKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1100 E BROADWAY STE 203, GLENDALE, CA 91205-2490
(818) 334-8600
Mailing address
250 S LAMER ST, BURBANK, CA 91506-2732
(760) 520-5252
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
84685
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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