Individual
MICHELLE J HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1818 PROPER ST, CORINTH, MS 38834-5134
(662) 415-9691
Mailing address
1818 PROPER ST, CORINTH, MS 38834-5134
(662) 415-9691
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
LMT1564
MS
225700000X
Massage Therapist
Primary
MA00024808
WA
Other
Enumeration date
11/06/2008
Last updated
09/16/2009
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