Kelly Hicks
Occupational Therapy Assistant
1775 N Park Dr Apt 1
Junction City
, Kansas 66441-1892
Kelly Hicks
Occupational Therapy Assistant
1775 N Park Dr Apt 1
Junction City
, Kansas 66441-1892
(419) 908-5376
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kelly Hicks
- 1775 N Park Dr Apt 1
- Junction City, KS
- Zip : 66441-1892
- Phone : (419) 908-5376
Second Address
- Kelly Hicks
- 1775 N Park Dr Apt 1
- Junction City, KS
- Zip : 66441-1892
- Phone : (419) 908-5376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 18-01276 | KS |
National Provider Identifier
| NPI | 1013374438 |
|---|---|
| Provider Name | Kelly Hicks |
| First Address | Junction City, KS 66441-1892 |
| Second Address | Junction City, KS 66441-1892 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2016 |
| Last Update Date | 15/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.