IndividualActive
Miranda Ickler
NPI 1568356152 · Health & Wellness Coach · Saint Louis, MO
Provider details
- NPI number
- 1568356152
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
2266 Rule Ave Apt D
Maryland Heights, MO 63043-1430
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.