Kelsie Hicks
Recreational Therapist Assistant in East Lansing, MI. Individual provider (NPI-1).
NPI number1629567524
StatusActive
Last updated in NPPESMay 7, 2018
Details
- NPI
- 1629567524
- Entity type
- Individual (NPI-1)
- Name
- Kelsie Hicks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2018
- Last updated
- May 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 226000000X | Recreational Therapist Assistant | – | – | Yes |
Practice location
2775 E Lansing DrEast Lansing, MI 48823-7755
Phone 517-332-1616
Mailing address
2775 E Lansing DrEast Lansing, MI 48823-7755
Phone 517-332-1616
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