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

WALTER JORDAN WICKHAM, DPT

Active

WALTER 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 190
POCATELLO, ID, 832024940
Browse 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.