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MR. SHANNON TROY HICKS CTRS
NPI 1659558005
Recreation Therapist in Memphis, TN

Active since January 29, 2008
1030 JEFFERSON AVE, MEMPHIS, TN 38104(901) 523-8990 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Shannon Troy Hicks Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANNON TROY HICKS CTRS (NPI 1659558005) is an individual recreation therapist in Memphis, Tennessee, licensed in Louisiana (38504) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1659558005
Entity TypeIndividualMale
Primary Taxonomy225800000X
Provider Legal NameMR. SHANNON TROY HICKSCredential: CTRS
Location Address1030 JEFFERSON AVEMemphis, TN 38104-2127
Mailing Address7820 Freehold DrMemphis, TN 38125-3254 · (901) 523-8990
Phone(901) 523-8990
Sole ProprietorNo
Enumeration DateJanuary 29, 2008
✔ NPI 1659558005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in LA · 38504
Definition
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.
1030 JEFFERSON AVE, Memphis, TN 38104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DEBORAH GERISE KARTHEISER RN
Registered Nurse (Psychiatric/Mental Health)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
MRS. KENYETTA D. MCINTOSH-JONES LCSW
Social Worker (Clinical)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
KELSEY A TIEMANN PHARM.D.
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
PENELOPE BLAND
Pharmacist
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. MAXWELL TREVOR MCCLURE PT
Physical Medicine & Rehabilitation
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
CAMEKA SHANTA MOORE RN
Registered Nurse
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DANIELLE NICOLE TAYLOR
Pharmacy Technician
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990
DR. ROBERT WOOD SMITH DDS
Dentist (General Practice)
1030 JEFFERSON AVE
MEMPHIS, TN 38104
Shelby County (901) 523-8990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Hicks's NPI number?

The NPI number for Shannon Hicks is 1659558005. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Shannon Hicks located?

Shannon Hicks practices at 1030 Jefferson Ave, Memphis, TN 38104. The listed phone number is (901) 523-8990.

What is Shannon Hicks's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Shannon Hicks was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.