Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELE WYLDE, PT, ATC
Active Sole ProprietorMICHELE WYLDE, PT, ATC is a Physical Therapy Assistant healthcare provider located in WATERMAN, Illinois. NPI 1962730416 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WATERMAN, IL
Registration Details
- NPI Number
- 1962730416
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2009 (16.693590925133 yrs)
- Last Updated
- Jul 1, 2025
- Licenses
-
070.014036 (IL)070.014036 (IL)070.014036 (IL)070014036 (IL)070.014036 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 W ADAMS STWATERMAN, IL, 605564000Browse IL providers · Browse ZIP 60556
- Phone
- 8152648600
- Fax
- 3314315462
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Ergonomics (Occupational Therapy)
- Additional Specialty
- Physical Therapy Clinic
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in WATERMAN, IL
| Name | Credential | NPI |
|---|---|---|
| MISS MARIA WANDA OLSON | PT SCS | 1386753994 |
| DR. ALEX HOLLIDAY | D.P.T | 1932599917 |
| MRS. SAMANTHA RITTER | DPT | 1356940936 |
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.