Individual
BREANNA LAUREN HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF CENTRAL MISSOURI, 116 W SOUTH ST, WARRENSBURG, MO 64093-5299
(877) 729-8266
Mailing address
PO BOX 800, WARRENSBURG, MO 64093-5299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MO
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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