Provider Demographics
NPI:1336373802
Name:HIGGINS, AIMEE L (LMT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:L
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8168 E FLORENTINE RD
Mailing Address - Street 2:STE D
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-8483
Mailing Address - Country:US
Mailing Address - Phone:928-775-5066
Mailing Address - Fax:
Practice Address - Street 1:8168 E FLORENTINE RD
Practice Address - Street 2:STE D
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-8483
Practice Address - Country:US
Practice Address - Phone:928-775-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist