NPI 1033875240

Kayla Wicks, CPOLPO

Practitioner Orthotist Longview, WA

Practice location

Address: 1516 Hudson St STE 105, Longview, WA 98632-3046
Phone: (360) 423-6049
Mailing address: 830 Gish Rd, Onalaska, WA 98570-9529

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OI61230221 (WA)

Other Orthotist providers in Washington →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS61132736 (WA)

Other Prosthetist providers in Washington →

Registry record

NPI: 1033875240
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2021
Record last updated: 11 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.