| Renise Mickey, MT | |
|
9219 Indianapolis Blvd Ste 204, Highland, IN 46322-2573 | |
| (219) 501-6575 | |
| Not Available |
| Full Name | Renise Mickey |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 9219 Indianapolis Blvd Ste 204, Highland, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003512385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT21806622 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Renise Mickey, MT 7550 Columbia Ave Apt 5, Hammond, IN 46324-3059 Ph: (219) 501-6575 | Renise Mickey, MT 9219 Indianapolis Blvd Ste 204, Highland, IN 46322-2573 Ph: (219) 501-6575 |
Allison Haugh, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2008 45th St, Highland, IN 46322 Phone: 219-218-2378 | |
Shynetta Brown, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 9219 Indianapolis Blvd Ste 202, Highland, IN 46322 Phone: 219-359-7361 |