Individual
JONATHAN A HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1331 N 7TH ST STE 355, PHOENIX, AZ 85006-2772
(602) 900-1822
Mailing address
1331 N 7TH ST STE 355, PHOENIX, AZ 85006-2772
(602) 900-1822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-26746
AZ
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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