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

Maximillien Damien Hickok

Individual provider Massage Therapist · NPI 1740115195

Maximillien Damien Hickok is a Massage Therapist in Grove, Oklahoma. Practices as a sole proprietor. Licensed in Missouri and Oklahoma.

Licensed in
MO, OK
In the registry since
2026
Specialties on file
2

Practice location Address checks out

309 W 3rd St
Grove, OK 74344-3205
Phone: (918) 787-6116
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2026027417 (MO)
Massage Therapist Taxonomy 225700000X · Licence 209785 (OK)

Record details

NPI number1740115195
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2026
Last updated in NPPESJuly 19, 2026
Certification dateJuly 19, 2026

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