Individual
TRACY LORRAINE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2628 COURTHOUSE CIR STE A, FLOWOOD, MS 39232-9562
(601) 932-0305
(601) 932-0360
Mailing address
204 KITTY HAWK CIR, BRANDON, MS 39047-8581
(601) 317-6608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2437
MS
Other
Enumeration date
07/28/2023
Last updated
08/22/2023
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