Individual
MRS. NANCYANNE PAGE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7580 CLARINGTON CV, SOUTHAVEN, MS 38671-5657
(901) 259-1600
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10505
TN
225100000X
Physical Therapist
Primary
CP025394T
MS
Other
Enumeration date
08/10/2015
Last updated
10/11/2023
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