Raina Hicks, LMT

NPI #1366020331 in Petoskey, Michigan

Provider Information

NPI Number: 1366020331
Entity Type: Individual
Name: Raina Hicks, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 31, 2021
Last Updated: Mar 31, 2021

Practice Location

Address: 2157 M 119
City: Petoskey
State: Michigan
ZIP Code: 49770-9042
Phone: (231) 590-9329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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