Individual provider · Type 1 NPI
Pamealla Ann Hicks, LMT
Massage Therapist · Cape Coral, FL
NPI number
1194970160
Active
Practice location
19 Del Prado Blvd N, Suite #101
Cape Coral, FL 33909-6307
Fax (239) 242-8003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA47163 (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.
2 other providers at this address
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About NPI 1194970160
Pamealla Ann Hicks, LMT's National Provider Identifier is 1194970160, issued on Nov 18, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cape Coral, FL. The record was last updated on Dec 2, 2008.