NPI 1023436524

Jerrid Hickman, LPTA

Practitioner Physical Therapy Assistant Brookhaven, MS

Practice location

Address: 503 Silver Cross Dr, Brookhaven, MS 39601-2388
Phone: (601) 540-0497

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA5335 (MS)

Other Physical Therapy Assistant providers in Mississippi →

Registry record

NPI: 1023436524
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2014
Record last updated: 1 Apr 2014

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.