Individual
STEPHANIE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5770 S 250 E STE G50, MURRAY, UT 84107-6165
(801) 314-5000
(801) 314-5011
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12846512-2401
UT
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/26/2022
Last updated
03/01/2024
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