Kayla Wicks, CPO, LPO

NPI #1033875240 in Longview, Washington

Provider Information

NPI Number: 1033875240
Entity Type: Individual
Name: Kayla Wicks, CPO, LPO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotist
Credential: CPO, LPO
Enumeration Date: Nov 11, 2021
Last Updated: Nov 11, 2021

Practice Location

Address: 1516 HUDSON ST STE 105
City: Longview
State: Washington
ZIP Code: 98632-3046
Phone: (360) 423-6049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X
Orthotist	222Z00000X	Primary

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