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

Individual provider Recreation Therapist · NPI 1659558005

Mr. Shannon Troy Hicks, CTRS is a Recreation Therapist in Memphis, Tennessee. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
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Practice location Address checks out

1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (901) 523-8990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 38504 (LA)

Record details

NPI number1659558005
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJanuary 29, 2008
Last updated in NPPESJanuary 29, 2008

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