Renise Mickey, MT is a
Massage Therapist based in Highland, Indiana. Renise Mickey is licensed to practice in Indiana (license number MT21806622) and her current practice location is
9219 Indianapolis Blvd Ste 204, Highland, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 501-6575.
NPI number for Renise Mickey is 1003512385 and her current mailing address is 7550 Columbia Ave Apt 5, Hammond, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003512385.
Healthcare Provider's Profile
Full Name | Renise Mickey |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 9219 Indianapolis Blvd Ste 204, Highland, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003512385
- Provider Enumeration Date: 02/07/2023
- Last Update Date: 02/07/2023
Medical Identifiers
Medical identifiers for Renise Mickey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003512385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT21806622 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renise Mickey is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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