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Raina Hicks, LMT

Massage Therapist in Petoskey, MI. Individual provider (NPI-1).

NPI number1366020331
StatusActive
Last updated in NPPESMar 31, 2021

Details

NPI
1366020331
Entity type
Individual (NPI-1)
Name
Raina Hicks
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2021
Certification date
Mar 31, 2021
Last updated
Mar 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist7501004162MIYes

Practice location

2157 M 119
Petoskey, MI 49770-9042

Phone 231-590-9329

Mailing address

2157 M 119
Petoskey, MI 49770-9042

Phone 231-590-9329

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