Larry A Hickok, PT
Physical Therapist in Chetek, WI. Individual provider (NPI-1).
NPI number1245304971
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1245304971
- Entity type
- Individual (NPI-1)
- Name
- Larry A Hickok
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4639-24 | WI | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | 4639-02 | WI |
Practice location
831 Dallas StChetek, WI 54728-5811
Phone 800-974-4378 · Fax 630-515-1536
Mailing address
24014 W Renwick Rd Unit 206Plainfield, IL 60544-8711
Phone 800-974-4378 · Fax 630-515-1536
Other practice locations
708 W Washington St
Augusta, WI 54722-9085
Augusta, WI 54722-9085
Phone 800-974-4378 · Fax 630-515-1536
205 E Hill St
Thorp, WI 54771-7630
Thorp, WI 54771-7630
Phone 800-974-4378 · Fax 630-515-1536
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Chetek, WI
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.