Individual
RENA MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
812 S GARFIELD AVE, SUITE 4, TRAVERSE CITY, MI 49686-3456
(231) 218-1266
Mailing address
812 S GARFIELD AVE, SUITE 4, TRAVERSE CITY, MI 49686-3456
(231) 218-1266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5502002850
MI
225700000X
Massage Therapist
Primary
7501004675
MI
Other
Enumeration date
10/06/2011
Last updated
02/16/2017
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