Individual provider · Type 1 NPI
Annette M. Havlicek, CMT
Massage Therapist · White Bear Township, MN
NPI number
1093037699
Active
Practice location
1756 Ridgewood Ave
White Bear Township, MN 55110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Massage Therapist Primary | 225700000X | 00006347 (MN) |
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.
About NPI 1093037699
Annette M. Havlicek, CMT's National Provider Identifier is 1093037699, issued on Feb 23, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in White Bear Township, MN. The record was last updated on Aug 25, 2019.