WADE WYCKOFF
Physical Medicine & Rehabilitation
Active
Individual
NPI: 1689243149
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Medicine & Rehabilitation | 208100000X | Yes | 346157 (LA) |
Frequently Asked Questions
NPI 1689243149 is the National Provider Identifier for WADE WYCKOFF, a Physical Medicine & Rehabilitation provider located in Shreveport, LA. This NPI was enumerated on June 20, 2021.
WADE WYCKOFF practices at 1111 LINE AVE, Shreveport, LA 71101.
Quick Facts
- NPI
- 1689243149
- Type
- Individual
- Enumerated
- Jun 20, 2021
- Last Updated
- Oct 14, 2025
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