Individual provider · Type 1 NPI

Tina Marie Hickson, LMT

Massage Therapist · Columbia, MD

NPI number 1043561665 Active

Practice location

5525 Twin Knolls Rd, Suite 321
Columbia, MD 21045-3266

Call (240) 459-3044 Map

Mailing address

9080 Moonshine Holw Apt A
Laurel, MD 20723-1638

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM04294 (MD)

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 1043561665

Tina Marie Hickson, LMT's National Provider Identifier is 1043561665, issued on Sep 21, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MD. The record was last updated on Sep 21, 2012.