Individual
MIRANDA A ICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12521 MARINE AVE, SAINT LOUIS, MO 63146-2411
(314) 806-1248
Mailing address
2266 RULE AVE APT D, MARYLAND HEIGHTS, MO 63043-1430
(314) 806-1248
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/12/2025
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