Individual
MRS. DEON HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 NW 45TH STREET, SUITE 209, KANSAS CITY, MO 64116
(816) 452-1633
Mailing address
851 NW 45TH STREET, SUITE 209, KANSAS CITY, MO 64116
(816) 452-1633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02424
KS
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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