Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN WICKMAN, PT
ActiveJORDAN WICKMAN, PT is a Physical Therapy Assistant healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1578116869 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1578116869
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2019 (7.0933297618707 yrs)
- Last Updated
- Jul 17, 2019
Practice Information
- Address
-
1185 CORPORATE CENTER DR STE 250OCONOMOWOC, WI, 530664888Browse WI providers · Browse ZIP 53066
- Phone
- 2629288853
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in OCONOMOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| KRISTEN L MAY | PT | 1437174562 |
| MRS. JILL MARIE JOHNSTON | PT | 1194740696 |
| BARBARA ANN LARSON | PT | 1013038561 |
| MS. BARBARA JEAN JUNGBLUTH | PT, ATP | 1912170366 |
| CARLA COLELLA | DPT | 1891958872 |
| LYNN MARIE VESEL | PT | 1942519996 |
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.