Victoria Fay Lickman, MT
Individual provider Active NPI Massage Therapist · Chesaning, MI
NPI 1649500786 · NPPES record last updated Jan 13, 2010
Key facts
- NPI
- 1649500786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 805 W Broad St # 1
Chesaning, MI 48616-1001 - Phone
- (989) 845-7464
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
805 W Broad St # 1
Chesaning, MI 48616-1001
Mailing address
805 W Broad Street, #1
Chesaning, MI 48616-1001
Phone (989) 845-7464
Other providers in Chesaning, MI
- Taylor Labine
- Laina Glaser
- Gregg Landick
- Julia Lewis
- Karlie Lewis
- Amber Linton-Sutherby
- Hunter Tylo Liskowycz
- Caroline Maureen Loomis
- Autumn Bobby Mahoney
- Sarah Frances Mahoney
All providers in Chesaning, MI · Massage Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.