Individual
ALICYA NIECALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6846 ROCHESTER RD, TROY, MI 48085-1291
(248) 828-0088
Mailing address
6846 ROCHESTER RD, TROY, MI 48085-1291
(248) 828-0088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010833
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1445193
AMTA
PA
Enumeration date
06/05/2018
Last updated
06/05/2018
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