IndividualActive
Illya Johnson-Hicklen, RCP
NPI 1912619701 · Critical Care Certified Respiratory Therapist · Fort Defiance, AZ
Provider details
- NPI number
- 1912619701
- Entity type
- Individual
- Primary specialty
- Critical Care Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RCP
- Sex
- Female
- Sole proprietor
- No
- License
- RCP02003641 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
Corner of Route N12 And, Route N7
Fort Defiance, AZ 86504-0649
Phone: (928) 729-8000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 649
Fort Defiance, AZ 86504-0649
Registry dates
- Enumerated
- 2022-12-23
- Last updated
- 2022-12-23
- Certified
- 2022-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.