Individual
LEVI HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8215 WESTCHESTER DR STE 221, DALLAS, TX 75225-6116
(214) 361-2772
(214) 361-9968
Mailing address
8215 WESTCHESTER DR STE 221, DALLAS, TX 75225-6116
(214) 361-2772
(214) 361-9968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26995021
TX
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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