Individual
DAEMIN PATRICK HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
18653 WEDGE PKWY, RENO, NV 89511-3323
(775) 786-3040
(775) 786-4765
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3833
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100559652
—
NV
01
—
14315136
CAQH
—
Enumeration date
08/16/2018
Last updated
04/29/2022
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