Doctor Name: | KRISITIE WICKLINE |
NPI Number: | 1578728945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 010499 |
Business Practice Address: | 7300 Mcewen Rd Dayton, OH - 454593903 |
Business Phone Number: | 9374333441 |
Business Fax Number: | |
Mailing Address: | 7300 Mcewen Rd, DAYTON |
State: | OH |
Postal Code: | 454593903 |
Phone Number: | 9374333441 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 010499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |