Individual provider · Type 1 NPI

Jonathan Wicks, ATC, LAT, M.ED

Sports Medicine (Psychiatry & Neurology) Physician · Bloomington, IN

NPI number 1003341918 Active

Practice location

1001 E 17th St
Bloomington, IN 47408-1590

Call (812) 855-7920 Map

Mailing address

2728 S Adams St, Unit 5
Bloomington, IN 47403-3296

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Psychiatry & Neurology) Physician Primary 2084S0010X36002506A (IN)

Sports Medicine (Psychiatry & Neurology) Physician: A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.

34 other providers at this address

About NPI 1003341918

Jonathan Wicks, ATC, LAT, M.ED's National Provider Identifier is 1003341918, issued on Apr 28, 2017. The primary taxonomy on file is Sports Medicine (Psychiatry & Neurology) Physician (2084S0010X), and the practice location is in Bloomington, IN. The record was last updated on Apr 28, 2017.