NPI 1164845533

Heath Hicks, LPTA

Practitioner Physical Therapy Assistant Rexburg, ID

Practice location

Address: 4442 Cedar Butte Cir, Rexburg, ID 83440-4320
Phone: (208) 351-0340

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-343 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1164845533
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2014
Record last updated: 21 Jan 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.