NPI 1013656438

Tre'Quon Marquis Hicks, CTRS

Practitioner Recreation Therapist Wichita, KS

Practice location

Address: 5500 E Kellogg Dr, Wichita, KS 67218-1607
Phone: (316) 685-2221
Mailing address: 5519 N Edwards Cir, Wichita, KS 67204-5400

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 84088 (AL)

Other Recreation Therapist providers in Kansas →

Registry record

NPI: 1013656438
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2022
Record last updated: 2 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.