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

Benjamin Tildon Hicks, LMT

Individual provider Massage Therapist · NPI 1417657438

Benjamin Tildon Hicks, LMT is a Massage Therapist in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

7 Crater Lake Ave
Medford, OR 97504-7466
Phone: (541) 613-3787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 023488 (OR)

Record details

NPI number1417657438
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address1888 Willow Glen Way, Medford, OR 97504-5709

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