Individual
ANDREW JASON HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1032 MILLWOOD AVE, MIDDLETON, ID 83644-3008
(208) 365-8746
Mailing address
1032 MILLWOOD AVE, MIDDLETON, ID 83644-3008
(208) 365-8746
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1671284
ID
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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