HEATH HICKS

REXBURG, ID
NPI1164845533
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-343)
Enumeration Date2014-01-21
Last Update Date2014-01-21
Business Address
-- HEATH HICKS LPTA
4442 CEDAR BUTTE CIR
REXBURG, ID 83440-4320
Phone number: 208-351-0340
Mailing Address
-- HEATH HICKS LPTA
4442 CEDAR BUTTE CIR
REXBURG, ID 83440-4320
Phone number:
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