Individual
MELISSA HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CPT
Contact information
Practice address
106 CRESTWOOD LN, WEWAHITCHKA, FL 32465-3133
(850) 832-3758
Mailing address
106 CRESTWOOD LN, WEWAHITCHKA, FL 32465-3133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA77498
FL
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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