-- HEATH HICKS -- LPTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1164845533- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPTA
- Status
- Active
Contact & Location
- Address
- 4442 CEDAR BUTTE CIR, REXBURG, ID, 834404320
- Phone
- (208) 351-0340
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PTA-343
All Addresses
MAILING
4442 CEDAR BUTTE CIR
REXBURG, ID, 834404320