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NPI Code Detail

MEDICARE: KAMICHA LYKES L.M.T

MEDICARE: KAMICHA LYKES L.M.T
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
1225700000XMassage Therapist33.020649OH

General Provider Information

NPI Number : 1144655820
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMICHA LYKES L.M.T
Provider Business Mailing Address
First Line : 4700 RICHMOND RD STE 100
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5985
Country : US
Telephone Number : 216-378-9390
Fax Number : 216-378-1735
Provider Business Practice Location Address
First Line : 4700 RICHMOND RD STE 100
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5985
Country : US
Telephone Number : 216-378-9390
Fax Number : 216-378-1735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 06/10/2026

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