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Evan Shelby Hickam
Massage Therapist in Miami, Florida
NPI 1023612959

Evan Shelby Hickam is a Massage Therapist based in Miami, FL. Evan Shelby Hickam practices in Miami, FL. The NPI Number for Evan Shelby Hickam is 1023612959 and holds a License No. MA86066 (Florida).

The current practice location address for Evan Shelby Hickam is 5801 Sw 34Th St, Miami, FL and can be reached out via phone at 786-516-1241.

Location: 5801 Sw 34Th St, Miami, FL, 33155-4914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023612959
Provider Name
Evan Shelby Hickam
Credential
Provider Entity Type
Individual
Gender
Male
Address
5801 Sw 34Th St, Miami, FL, 33155-4914
Phone Number
786-516-1241
Fax Number
Provider Enumeration Date
11/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5801 Sw 34Th St
City
Miami
State
Florida
Zip
33155-4914
Phone Number
786-516-1241
Fax Number
person
Provider Business Mailing Address Details
Address
5801 Sw 34Th St
City
Miami
State
Florida
Zip
33155-4914
Phone Number
786-516-1241
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA86066 (Florida)
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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