Grant Gentry Hicks, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2035-55 Issued in WI

Practice address

216 Ridgewood Dr
Viroqua, WI 54665-8617

Phone

(608) 304-8047

NPI assigned

Feb 24, 2025

Last updated

Mar 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1497551907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 RIDGEWOOD DR",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546658617",
            "telephone_number": "608-304-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 RIDGEWOOD DR",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546658617",
            "telephone_number": "608-304-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "GRANT",
        "middle_name": "GENTRY",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "2035-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg R Henckel, DDS
• Rachel Hendricks, COTA
• Elizabeth Hendrickson, OTR
• Madeleine Brooke Hepperlen, DPT
• Jolene Marie Herlitzke-Foss, COTA
• Richard Hobin II, C.O.T.A.
• Heather Hoene
• Dawn Hoff, M.S., RCEP, CES
• Roxane Lynn Holm, PMHNP
• John Holzhauer, M.D.

• Acupuncturist in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.