Individual provider · Type 1 NPI

Evan Shelby Hickam

Massage Therapist · Miami, FL

NPI number 1023612959 Active

Practice location

5801 SW 34th St
Miami, FL 33155-4914

Call (786) 516-1241 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA86066 (FL)

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 1023612959

Evan Shelby Hickam's National Provider Identifier is 1023612959, issued on Nov 22, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Miami, FL. The record was last updated on Nov 22, 2020.