Individual provider · Type 1 NPI

Andrew Jason Hickman

Massage Therapist · Middleton, ID

NPI number 1053259689 Active

Practice location

1032 Millwood Ave
Middleton, ID 83644-3008

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1671284 (ID)

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 1053259689

Andrew Jason Hickman's National Provider Identifier is 1053259689, issued on Mar 24, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Middleton, ID. The record was last updated on Mar 24, 2026.