Individual
AMANDA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1301 E M ST, TORRINGTON, WY 82240-3521
(307) 532-5355
(307) 532-5455
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1561
WY
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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