IndividualActive
Annette Havlicek, CMT
NPI 1093037699 · Massage Therapist · White Bear Township, MN
Provider details
- NPI number
- 1093037699
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CMT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Specialist174400000X
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1756 Ridgewood Ave
White Bear Township, MN 55110
Phone: (651) 400-0884
Street-level locationGet directions
Mailing address
1756 Ridgewood Ave
White Bear Township, MN 55110-5835
Registry dates
- Enumerated
- 2010-02-23
- Last updated
- 2019-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.