MS. VICTORIA FAY LICKMAN (NPI# 1649500786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649500786 |
Entity Type | Individual |
Full Name | MS. VICTORIA FAY LICKMAN |
Credential | MT |
Practice Address |
805 W Broad St # 1 Chesaning MI 48616-1001 |
Mailing Address |
805 W Broad Street, #1 Chesaning MI 48616-1001 |
Practice Telephone | 9898457464 |
Mailing Telephone | 9898457464 |
Enumeration Date | 2010-01-13 |
Last Update Date | 2010-01-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
805 W BROAD ST # 1 |
City | CHESANING |
State | MI |
Zip Code | 48616-1001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548824436 | Amanda Lorencz | Optometrist | 1555 Brady St, Chesaning, MI 48616 | 2019-04-25 |
1073015376 | Rachel C Bolker | Physical Therapist | 1600 W. Brady Road, Chesaning, MI 48616 | 2018-03-02 |
1407364821 | Chesaning Comfort Care | Internal Medicine | 1800 W Brady Rd, Chesaning, MI 48616 | 2018-01-19 |
1255581039 | Ehinger & Hopfensperger Dentistry Pllc | Dentist | 371 S. Line St, Chesaning, MI 48616 | 2008-09-29 |
1821171992 | Chesaning Family Dental PC | Dentist | 1109 W Broad Street, Chesaning, MI 48616 | 2006-10-23 |
1427149962 | Robert G Schultz | Pharmacist | 126 W Broad St, Chesaning, MI 48616 | 2006-09-28 |
1336230879 | Central Pharmacy-chesaning, LLC | Pharmacist | 126 W. Broad St, Chesaning, MI 48616 | 2006-09-28 |
1649270349 | Susan Mary Jaskiewicz | Nurse Practitioner | 1600 Brady St, Chesaning, MI 48616 | 2005-07-26 |
1285847509 | David E. Duryea, O.d., P.c | Optometrist | 1555 Brady Road, Chesaning, MI 48616 | 2007-05-07 |
1831265842 | Jerry John Skaryd | Dentist | 1109 W Broad Street, Chesaning, MI 48616 | 2006-11-28 |
Find all providers in zip 48616 |
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 |
---|---|---|---|---|
1124629043 | Nathaniel Farnsworth Barrino | Massage Therapist | 21940 Coolidge Hwy, Oak Park, MI 48237-2811 | 2020-11-06 |
1376144378 | Uper, Inc | Massage Therapist | 3197 E Rocky Trl, Cedarville, MI 49719-9560 | 2020-11-05 |
1700487832 | Emalee Ann Behem | Massage Therapist | 7880 Vincent Rd, Croswell, MI 48422-9010 | 2020-11-04 |
1588264238 | Courtney Altmaier | Massage Therapist | 1175 S Smith Rd, Cedarville, MI 49719-9564 | 2020-10-30 |
1023617990 | Beth Andrea Schipper | Massage Therapist | 2717 104th Ave, Zeeland, MI 49464-6801 | 2020-10-22 |
1528667722 | Elissa Marie Stewart | Massage Therapist | 118 Minnehaha St, Roscommon, MI 48653-7118 | 2020-10-20 |
1881292977 | Cheyanne English | Massage Therapist | 119 Columbia Ave E Ste 12, Battle Creek, MI 49015-3765 | 2020-10-12 |
1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
1558968578 | Polly Ann Holmes | Massage Therapist | 359 W Nepessing St Ste B, Lapeer, MI 48446-2182 | 2020-10-02 |
1891302493 | Irene Dooley | Massage Therapist | 544 E Kirby St, Detroit, MI 48202-4121 | 2020-09-28 |
Find all providers with the same taxonomy |
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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.