Individual provider · Type 1 NPI

Joel Wyckoff, PTA

Physical Therapy Assistant · Milwaukee, WI

NPI number 1356833164 Active

Practice location

9120 W Capitol Dr
Milwaukee, WI 53222-1622

Fax (414) 438-3176

Mailing address

1300 S Green Bay Rd Ste 205
Mount Pleasant, WI 53406-4469

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2006-19 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1356833164

Joel Wyckoff, PTA's National Provider Identifier is 1356833164, issued on Jun 6, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 6, 2018.