Grant Gentry Hicks, L.AC.

NPI #1497551907 in Viroqua, Wisconsin

Provider Information

NPI Number: 1497551907
Entity Type: Individual
Name: Grant Gentry Hicks, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Feb 24, 2025
Last Updated: Mar 5, 2025

Practice Location

Address: 216 RIDGEWOOD DR
City: Viroqua
State: Wisconsin
ZIP Code: 54665-8617
Phone: (608) 304-8047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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