Wickenhauser, Cody
Wickenhauser, Cody is an individual health care provider with primary practice located at 2406 E Empire St , Bloomington IL 61704-3630. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wickenhauser, Cody can be contacted via phone (309) 663-9300.Contact Information
Primary practice address
2406 E Empire St
Bloomington IL 61704-3630
Phone: (309) 663-9300
Fax: (309) 663-6993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.021534 | Illinois |
Profile Details
| NPI number | 1811364052 |
|---|---|
| LBN Legal business name | Wickenhauser, Cody |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2015 |
| Last updated | Aug 24th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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