Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annette M Havlicek, CMT

Individual provider Specialist · NPI 1093037699

Annette M Havlicek, CMT is a Specialist in White Bear Township, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1756 Ridgewood Ave
White Bear Township, MN 55110
Phone: (651) 400-0884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 00006347 (MN)
Specialist Taxonomy 174400000X

Record details

NPI number1093037699
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorYes
NPI enumeratedFebruary 23, 2010
Last updated in NPPESAugust 25, 2019