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Jonathan Wicks, ATC, LAT, M.ED
NPI 1003341918 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1001 E 17th St
Bloomington, IN 47408 - Phone
- (812) 855-7920
- Organisation at this address
- Athletico, Ltd.
The Trustees Of Indiana UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- 2084S0010X
2084S0010X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana