Individual
ETHAN JOSEPH HICKCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1041 HILL ST, WISCONSIN RAPIDS, WI 54494-5202
(715) 421-7474
Mailing address
3148 BRONSON RD, WISCONSIN RAPIDS, WI 54495-8333
(651) 900-1367
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16746-24
WI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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