Individual
KELSIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 13TH ST, ASHLAND, KY 41102-4510
(606) 329-0910
(606) 325-8434
Mailing address
PO BOX 1240, ASHLAND, KY 41105-1240
(606) 325-7955
(606) 325-9848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007959
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004274
PHYSICAL THERAPIST LICENSE
WV
01
—
007959
PHYSICAL THERAPIST LICENSE
KY
Enumeration date
06/18/2020
Last updated
06/18/2020
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