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

Renise Mickey, MT

Individual provider Massage Therapist · NPI 1003512385

Renise Mickey, MT is a Massage Therapist in Highland, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

9219 Indianapolis Blvd Ste 204
Highland, IN 46322-2573
Phone: (219) 501-6575
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT21806622 (IN)

Record details

NPI number1003512385
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address7550 Columbia Ave Apt 5, Hammond, IN 46324-3059

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