Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN HICKEY, PTA
Active Sole ProprietorJOHN HICKEY, PTA is a Physical Therapy Clinic healthcare provider located in SOUTH BOSTON, Massachusetts. NPI 1730308578 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · SOUTH BOSTON, MA
Registration Details
- NPI Number
- 1730308578
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.325965739572 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4056 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
323 DORCHESTER AVESOUTH BOSTON, MA, 021272408Browse MA providers · Browse ZIP 02127
- Phone
- 6172695600
- Fax
- 6172695601
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
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.