Individual provider · Type 1 NPI

Benjamin Tildon Hicks, L.M.T.

Massage Therapist · Medford, OR

NPI number 1417657438 Active

Practice location

7 Crater Lake Ave
Medford, OR 97504-7466

Call (541) 613-3787 Map

Mailing address

1888 Willow Glen Way
Medford, OR 97504-5709

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X023488 (OR)

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 1417657438

Benjamin Tildon Hicks, L.M.T.'s National Provider Identifier is 1417657438, issued on Mar 8, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Mar 8, 2023.