Individual provider · Type 1 NPI

Tristan C. Wickham

Physical Therapist · Louisville, KY

NPI number 1215860028 Active

Practice location

2701 Chestnut Station Ct
Louisville, KY 40299-6395

Mailing address

136 S Ward St
Elkhart, IN 46514-2403

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1215860028

Tristan C. Wickham's National Provider Identifier is 1215860028, issued on Jun 3, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Louisville, KY. The record was last updated on Jun 3, 2026.