Individual
KAYLA M HICKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
708 W WASHINGTON ST, AUGUSTA, WI 54722-9085
(715) 286-2488
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
16451-24
WI
Other
Enumeration date
06/30/2023
Last updated
05/27/2024
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