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Renise Mickey, MT
Massage Therapist in Highland, Indiana
NPI 1003512385

Renise Mickey is a Massage Therapist based in Hammond, IN. Renise Mickey practices in Highland, IN and has the professional credentials of MT. The NPI Number for Renise Mickey is 1003512385 and holds a License No. MT21806622 (Indiana).

The current practice location address for Renise Mickey is 9219 Indianapolis Blvd Ste 204, Highland, IN and can be reached out via phone at 219-501-6575.

Location: 9219 Indianapolis Blvd Ste 204, Highland, IN, 46324-3059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003512385
Provider Name
Renise Mickey
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
9219 Indianapolis Blvd Ste 204, Highland, IN, 46324-3059
Phone Number
219-501-6575
Fax Number
Provider Enumeration Date
02/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9219 Indianapolis Blvd Ste 204
City
Highland
State
Indiana
Zip
46322-2573
Phone Number
219-501-6575
Fax Number
person
Provider Business Mailing Address Details
Address
9219 Indianapolis Blvd Ste 204
City
Highland
State
Indiana
Zip
46322-2573
Phone Number
219-501-6575
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT21806622 (Indiana)
Definition
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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