Individual
CRYSTAL JENNIFER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 S RURAL RD STE 104, TEMPE, AZ 85282-7289
(480) 222-0655
(480) 222-1457
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
LPT-32758
AZ
225100000X
Physical Therapist
Primary
—
AZ
Other
Enumeration date
01/02/2023
Last updated
12/16/2025
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