MR. Johnny Lee Hicks, PT

NPI #1588987887 in Lexington, North Carolina

Provider Information

NPI Number: 1588987887
Entity Type: Individual
Name: MR. Johnny Lee Hicks, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 2, 2010
Last Updated: Mar 2, 2010

Practice Location

Address: 381 LORVEN DR
City: Lexington
State: North Carolina
ZIP Code: 27292-8389
Phone: (336) 250-8260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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