Individual
NICKIE KAY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
(865) 687-1321
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(865) 392-2824
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1373
TN
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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