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NPI Code Detail

MEDICARE: SHARON ROSE CICCONE LMT

MEDICARE: SHARON ROSE CICCONE LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness Coach
2225700000XMassage TherapistMSG011973PA
3225700000XMassage Therapist128118IA

General Provider Information

NPI Number : 1104430560
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON ROSE CICCONE LMT
Provider Business Mailing Address
First Line : 602 N MAIN ST
Second Line :
City : FAIRFIELD
State : IA
Zip : 52556-2236
Country : US
Telephone Number : 914-482-3027
Fax Number :
Provider Business Practice Location Address
First Line : 408 S MAPLE ST
Second Line :
City : FAIRFIELD
State : IA
Zip : 52556-3740
Country : US
Telephone Number : 641-451-0465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2020
Last Update Date : 08/29/2025

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Directions to “ SHARON ROSE CICCONE LMT” Practice Location

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