Individual provider · Type 1 NPI

Shannon Troy Hicks, CTRS

Recreation Therapist · Memphis, TN

NPI number 1659558005 Active

Practice location

1030 Jefferson Ave
Memphis, TN 38104-2127

Call (901) 523-8990 Map

Mailing address

7820 Freehold Dr
Memphis, TN 38125-3254

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000X38504 (LA)

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1659558005

Shannon Troy Hicks, CTRS's National Provider Identifier is 1659558005, issued on Jan 29, 2008. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Memphis, TN. The record was last updated on Jan 29, 2008.