Individual
MR. SCOTT ALAN HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, USAW
Contact information
Practice address
1 WILDCAT LN, BROOKVILLE, IN 47012-8100
(765) 647-4101
Mailing address
9017 TREMONT PL, BROOKVILLE, IN 47012-7769
(765) 207-0226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000577A
IN
Other
Enumeration date
11/03/2006
Last updated
10/26/2009
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