Stacey Marchus Hickman, PT

NPI #1578869244 in Hill Afb, Utah

Provider Information

NPI Number
1578869244
Entity Type
Individual
Name
Stacey Marchus Hickman, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jan 28, 2011
Last Updated
Jan 28, 2011

Practice Location

Address
7321 BALMER ST
Address 2
BLDG. 570
State
Utah
ZIP Code
84056-5012
Phone
(801) 777-5400

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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