Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALTER JORDAN WICKHAM, DPT
ActiveWALTER JORDAN WICKHAM, DPT is a Physical Medicine & Rehabilitation healthcare provider located in POCATELLO, Idaho. NPI 1346843802 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · POCATELLO, ID
Registration Details
- NPI Number
- 1346843802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2020 (5.6951732918802 yrs)
- Last Updated
- Nov 18, 2020
- License
-
PT-7106 (ID)
Practice Information
- Address
-
1800 FLANDRO DR STE 190POCATELLO, ID, 832024940Browse ID providers · Browse ZIP 83202
- Phone
- 2082332248
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| JAMES R COLLET | MD | 1588675722 |
| DR. AUSTIN CLIFF MYERS | MD, MBA | 1407276835 |
| BRYAN PHILIP LAWSON | PT | 1639739022 |
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.