Individual provider · Type 1 NPI

Wade Wyckoff

Physical Medicine & Rehabilitation Physician · Shreveport, LA

NPI number 1689243149 Active

Practice location

1111 Line Ave
Shreveport, LA 71101-3841

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician Primary 208100000X346157 (LA)

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

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About NPI 1689243149

Wade Wyckoff's National Provider Identifier is 1689243149, issued on Jun 20, 2021. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Shreveport, LA. The record was last updated on Oct 14, 2025.