Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Hanne Hicks

Individual provider Physical Therapist · NPI 1861327025

Evan Hanne Hicks is a Physical Therapist in Fayetteville, Arkansas. Works from 2 locations. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1188 N Salem Rd Ste 1
Fayetteville, AR 72704-8803
Phone: (479) 595-0474
Fax: (479) 239-5444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7115 E Saint Charles Rd, Columbia, MO 65202-0196 — (573) 884-6851

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5839 (AR)
Physical Therapist Taxonomy 225100000X · Licence 2023021889 (MO)

Record details

NPI number1861327025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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