Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNETTE M HAVLICEK, CMT
Active Sole ProprietorANNETTE M HAVLICEK, CMT is a Massage Therapist healthcare provider located in WHITE BEAR TOWNSHIP, Minnesota. NPI 1093037699 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · WHITE BEAR TOWNSHIP, MN
Registration Details
- NPI Number
- 1093037699
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2010 (16.450342857654 yrs)
- Last Updated
- Aug 25, 2019
- License
-
00006347 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1756 RIDGEWOOD AVEWHITE BEAR TOWNSHIP, MN, 55110Browse MN providers · Browse ZIP 55110
- Phone
- 6514000884
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.