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

Mrs. Jennifer Diane Hickman, PT

Individual provider Physical Therapist · NPI 1124163589

Mrs. Jennifer Diane Hickman, PT is a Physical Therapist in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 632-5622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 103417 (MO)

Record details

NPI number1124163589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJuly 8, 2007

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