Individual
TANIA HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 S OAK ST, CRYSTAL LAKE, IL 60014-5817
(815) 690-2027
Mailing address
20 S OAK ST, CRYSTAL LAKE, IL 60014-5817
(815) 690-2027
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.016987
IL
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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