Individual provider · Type 1 NPI

Renise Mickey, MT

Massage Therapist · Highland, IN

NPI number 1003512385 Active

Practice location

9219 Indianapolis Blvd Ste 204
Highland, IN 46322-2573

Mailing address

7550 Columbia Ave Apt 5
Hammond, IN 46324-3059

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT21806622 (IN)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1003512385

Renise Mickey, MT's National Provider Identifier is 1003512385, issued on Feb 7, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Highland, IN. The record was last updated on Feb 7, 2023.