Maximillien Damien Hickok
NPI 1740115195ActiveIndividual· Massage Therapist· Grove, OK
Massage Therapist in Grove, Oklahoma, licensed in MO and OK, with an NPI issued in June 2026.
Overview
| NPI | 1740115195 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 16, 2026 |
| Last updated in NPPES | Jul 19, 2026 |
| Certified by provider | Jul 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | 2026027417 | MO |
| Massage Therapist | 225700000X | 209785 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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