Individual
AMANDA M HICKMAN
Active
Individual
AMANDA M HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1404317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1404317
COMMERCIAL
TX
05
—
1404317
—
TX
Enumeration date
02/12/2025
Last updated
12/10/2025
Update your record
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