| NPI | 1164262689 |
|---|---|
| Former Name | REGYN HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY PT-2400) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-07-10 |