Individual
AVERY MICHELLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
271 CHALK HILL CHURCH RD, CAMDEN, TN 38320-7547
(731) 441-0721
Mailing address
77 STONEBRIDGE BLVD, JACKSON, TN 38305-2165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7518
TN
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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