Individual provider · Type 1 NPI

Cody Wickenhauser, PT, DPT

Physical Therapist · Bloomington, IL

NPI number 1811364052 Active

Practice location

2406 E Empire St
Bloomington, IL 61704-3630

Fax (309) 663-6993

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X070.021534 (IL)

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 1811364052

Cody Wickenhauser, PT, DPT's National Provider Identifier is 1811364052, issued on Aug 24, 2015. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Bloomington, IL. The record was last updated on Aug 24, 2015.