Individual
KIRSTY JOY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
820 CRATER LAKE AVE STE 113, MEDFORD, OR 97504-6581
(541) 770-1606
(541) 770-1606
Mailing address
4434 COREY RD, CENTRAL POINT, OR 97502-9411
(541) 821-3883
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23646
OR
Other
Enumeration date
09/09/2017
Last updated
09/09/2017
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