Individual
JACOBY DALE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1809 E 13TH ST, TULSA, OK 74104-4419
(918) 579-7100
Mailing address
1809 E 13TH ST, TULSA, OK 74104-4419
(918) 579-7100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6276
OK
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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