Individual provider · Type 1 NPI
Bryan Douglas Hickson, LMT
Massage Therapist · Phoenix, AZ
NPI number
1033408422
Active
Practice location
837 E Windsor Ave
Phoenix, AZ 85006-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-15513 (AZ) |
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 1033408422
Bryan Douglas Hickson, LMT's National Provider Identifier is 1033408422, issued on Apr 6, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 6, 2011.