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

Ivanna Wiczuk, LMT

Individual provider Massage Therapist · NPI 1518778539

Ivanna Wiczuk, LMT is a Massage Therapist in Sterling Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

6031 19 Mile Rd Ste A
Sterling Heights, MI 48314-2181
Phone: (586) 576-7965
Fax: (586) 510-4921
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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 7501003210 (MI)

Record details

NPI number1518778539
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

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