Individual
KATHERINE MARIE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
2490 S 11TH ST, KALAMAZOO, MI 49009-2175
(269) 343-1535
Mailing address
2490 S 11TH ST, KALAMAZOO, MI 49009-2175
(269) 343-1535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000474
MI
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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