BRYAN DOUGLAS HICKSON (NPI# 1033408422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033408422 |
| Entity Type | Individual |
| Full Name | BRYAN DOUGLAS HICKSON |
| Credential | LMT |
| Practice Address |
837 E Windsor Ave Phoenix AZ 85006-1044 |
| Practice Telephone | 4807450499 |
| Mailing Telephone | 4807450499 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-15513 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
837 E WINDSOR AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
| 1205435823 | Angelica Mitchum | Massage Therapist | 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 | 2020-10-23 |
| 1598362618 | Zeke Michael Mcnelly | Massage Therapist | 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 | 2020-10-01 |
| 1386250520 | Jeanne Thom | Massage Therapist | 21150 N Tatum Blvd Apt 1045, Phoenix, AZ 85050-4296 | 2020-09-22 |
| 1649880253 | Dwayne Pepper | Massage Therapist | 1337 E Goldenrod St, Phoenix, AZ 85048-6231 | 2020-08-07 |
| 1942818828 | Erika Mendoza | Massage Therapist | 7546 W Forest Grove Ave, Phoenix, AZ 85043-1656 | 2020-07-16 |
| 1164042602 | Rhonda L Evans | Massage Therapist | 3124 W Salter Dr, Phoenix, AZ 85027-2250 | 2020-04-24 |
| 1700416427 | David Solis | Massage Therapist | 1614 W Whispering Wind Dr Ste 5, Phoenix, AZ 85085-0809 | 2020-01-22 |
| 1700425949 | Charles George King Jr. | Massage Therapist | 6223 N 20th Dr, Phoenix, AZ 85015-1516 | 2020-01-06 |
| 1679119457 | Faith Vandyne | Massage Therapist | 722 E Sack Dr, Phoenix, AZ 85024-8232 | 2019-11-27 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.