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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY MARCHUS HICKMAN, PT

Active

Physical Therapy Assistant · HILL AFB, UT

Registration Details

NPI Number
1578869244
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2011 (15.229020002323 yrs)
Last Updated
Jan 28, 2011
License
PT14617 (CA)

Practice Information

Address
7321 BALMER ST
BLDG. 570
HILL AFB, UT, 840565012
Browse UT providers · Browse ZIP 84056
Phone
8017775400
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HILL AFB, UT

Name Credential NPI
MR. ERIC WILLIAM STEPHAN MSPT 1295729432
MS. SHELLEY DENISE CAMERON MPT 1730178393
LONI SPENCER SCOTT DPT 1033178678
JULIE A BOWMAN PT, DPT, OCS 1194156356
ALEXANDRA DIIORIO DPT 1629521406
MICHAEL BRENT BAGWELL DPT 1891363677
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.