Zoe Hickam, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60597698 Issued in WA

Practice address

11112 Pacific Ave S
Tacoma, WA 98444-5749

Phone

(253) 537-1103

NPI assigned

Oct 8, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Zoe Watson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1700257367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30879 E LAKE MORTON DR SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980429744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11112 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445749",
            "telephone_number": "253-537-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKAM",
        "first_name": "ZOE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60597698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZOE",
            "last_name": "WATSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• HGCM Therapy PLLC
• Hi5Ride LLC
• Connie Marie Hiatt, APRN-C
• Daniel Gregory Hiatt, NONE
• Kyly Hiatt, DO
• Tobi Lynette Hickenbottom
• Terry Allen Hickey, DDS
• Natasha Hicks
• Sara Hicks
• William R Hicks, FNPC

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.