Individual provider · Type 1 NPI
Victoria Fay Lickman, MT
Massage Therapist · Chesaning, MI
NPI number
1649500786
Active
Practice location
805 W Broad St # 1
Chesaning, MI 48616-1001
Mailing address
805 W Broad Street, #1
Chesaning, MI 48616-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None 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.
About NPI 1649500786
Victoria Fay Lickman, MT's National Provider Identifier is 1649500786, issued on Jan 13, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chesaning, MI. The record was last updated on Jan 13, 2010.