Hicks, Shannon Troy

Hicks, Shannon Troy is an individual health care provider with primary practice located at 1030 Jefferson Ave , Memphis TN 38104-2127. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as his primary health care specialty. Hicks, Shannon Troy can be contacted via phone (901) 523-8990.

Contact Information

Primary practice address
1030 Jefferson Ave Memphis TN 38104-2127
Phone: (901) 523-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 38504 Louisiana

Profile Details

NPI number 1659558005
LBN Legal business name Hicks, Shannon Troy
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2008
Last updated Jan 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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