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RENISE MICKEY MT
NPI 1003512385
Massage Therapist in Highland, IN

Active since February 07, 2023
9219 INDIANAPOLIS BLVD STE 204, HIGHLAND, IN 46322(219) 501-6575 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renise Mickey Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENISE MICKEY MT (NPI 1003512385) is an individual massage therapist in Highland, Indiana, licensed in Indiana (MT21806622) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1003512385
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameRENISE MICKEYCredential: MT
Location Address9219 INDIANAPOLIS BLVD STE 204Highland, IN 46322-2573
Mailing Address7550 Columbia Ave Apt 5Hammond, IN 46324-3059 · (219) 501-6575
Phone(219) 501-6575
Sole ProprietorYes
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1003512385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IN · MT21806622
Definition
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.
9219 INDIANAPOLIS BLVD STE 204, Highland, IN 46322
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renise Mickey's NPI number?

The NPI number for Renise Mickey is 1003512385. It was assigned to this individual provider in the NPPES registry on February 7, 2023.

Where is Renise Mickey located?

Renise Mickey practices at 9219 Indianapolis Blvd Ste 204, Highland, IN 46322. The listed phone number is (219) 501-6575.

What is Renise Mickey's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Renise Mickey was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.