Heath Hicks, LPTA

NPI #1164845533 in Rexburg, Idaho

Provider Information

NPI Number: 1164845533
Entity Type: Individual
Name: Heath Hicks, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jan 21, 2014
Last Updated: Jan 21, 2014

Practice Location

Address: 4442 CEDAR BUTTE CIR
City: Rexburg
State: Idaho
ZIP Code: 83440-4320
Phone: (208) 351-0340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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