Individual provider · Type 1 NPI

Kayla Wicks, CPO, LPO

Orthotist · Longview, WA

NPI number 1033875240 Active

Practice location

1516 Hudson St Ste 105
Longview, WA 98632-3046

Mailing address

830 Gish Rd
Onalaska, WA 98570-9529

Specialties and licenses

TaxonomyCodeLicense
Prosthetist 224P00000XPS61132736 (WA)
Orthotist Primary 222Z00000XOI61230221 (WA)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1033875240

Kayla Wicks, CPO, LPO's National Provider Identifier is 1033875240, issued on Nov 11, 2021. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Longview, WA. The record was last updated on Nov 11, 2021.