Jack Wyckoff
NPI #1538025564 in Richardton, North Dakota
Provider Information
- NPI Number
- 1538025564
- Entity Type
- Individual
- Name
- Jack Wyckoff
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 3, 2026
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 339 WEHRLE DR
- City
- Richardton
- State
- North Dakota
- ZIP Code
- 58652-7105
- Phone
- (972) 757-0335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chore Provider |
| Technician - Personal Care Attendant — Personal Care Attendant |
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