Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN MYREE HICKS, ATC
ActiveELLEN MYREE HICKS, ATC is a Athletic Trainer healthcare provider located in PORT REPUBLIC, Virginia. NPI 1003203431 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PORT REPUBLIC, VA
Registration Details
- NPI Number
- 1003203431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2015 (11.296027997639 yrs)
- Last Updated
- Apr 23, 2015
- License
-
0126000363 (VA)
Practice Information
- Address
-
5939 FLANK CIRPORT REPUBLIC, VA, 244712231Browse VA providers · Browse ZIP 24471
- Phone
- 5408285368
- Fax
- 5405153763
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.