Individual provider · Type 1 NPI

Benjamin J. Mickens

Massage Therapist · San Antonio, TX

NPI number 1295935666 Active

Practice location

7330 San Pedro, Suite 130
San Antonio, TX 78216-6235

Call (210) 349-0550 Map

Mailing address

8311 Copperside
Converse, TX 78109-3901

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1295935666

Benjamin J. Mickens's National Provider Identifier is 1295935666, issued on Jul 23, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 23, 2007.