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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAYLA WICKS, CPO, LPO

Active Sole Proprietor

KAYLA WICKS, CPO, LPO is a Orthotist healthcare provider located in LONGVIEW, Washington. NPI 1033875240 is currently active in the NPPES registry. Verify at CMS.

Orthotist · LONGVIEW, WA

Registration Details

NPI Number
1033875240
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2021 (4.7735790219185 yrs)
Last Updated
Nov 11, 2021
Licenses
PS61132736 (WA)
OI61230221 (WA)
Sole Proprietor
Yes

Practice Information

Address
1516 HUDSON ST STE 105
LONGVIEW, WA, 986323046
Browse WA providers · Browse ZIP 98632
Phone
3604236049
Primary Specialty
Orthotist
222Z00000X
Additional Specialty
Orthotist

Other Orthotist Providers in LONGVIEW, WA

Name Credential NPI
MR. DAVID H STUART ABCO/BOCO/LO 1932429974
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.