Search › Arkansas › 171M00000X
Tadd Hickerson, RECOVERY ASSISTANT
NPI 1386966042 · on the registry since 2010
Practice
- Address
- 242 Shake Rag Rd
Clinton, AR 72031 - Phone
- (501) 745-6644
- Clinicians at this address
- 132
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas