SHANNON TROY HICKS

MEMPHIS, TN
NPI1659558005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225800000X Recreation Therapist
(Licence: LA  38504)
Enumeration Date2008-01-29
Last Update Date2008-01-29
Business Address
Mr. SHANNON TROY HICKS CTRS
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
Mailing Address
Mr. SHANNON TROY HICKS CTRS
7820 FREEHOLD DR
MEMPHIS, TN 38125-3254
Phone number: 901-523-8990