Healthcare Provider Details

I. General information

NPI: 1649127507
Provider Name (Legal Business Name): KATELYNE ANN SICKELSTEEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5856 FEDERAL RD
HOWARD CITY MI
49329-8635
US

IV. Provider business mailing address

518 WALNUT ST
HOWARD CITY MI
49329-9794
US

V. Phone/Fax

Practice location:
  • Phone: 616-430-8614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number7501014426
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: