Individual
KATLIN M HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
333 E GREGORY BLVD, KANSAS CITY, MO 64114-1123
(816) 313-8899
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05858
KS
225100000X
Physical Therapist
Primary
2018034739
MO
Other
Enumeration date
06/06/2018
Last updated
11/05/2024
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