Individual
TY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
112 N MAIN ST, WEBB CITY, MO 64870-1936
(417) 540-6651
Mailing address
112 N MAIN ST, WEBB CITY, MO 64870-1936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2024002956
MO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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