Jonathan Wicks, ATC, LAT, M.ED
NPI 1003341918 belongs to Jonathan Wicks, ATC, LAT, M.ED, a sports medicine (psychiatry & neurology) physician with a practice location in Bloomington, IN. The NPI was issued on April 28, 2017, and the record was last updated in NPPES on April 28, 2017.
This record hasn't been updated in NPPES since 2017. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Psychiatry & Neurology) Physician Primary | 2084S0010X | 36002506A (IN) |
Practice location
Local context
Active NPPES records list 1 provider with sports medicine (psychiatry & neurology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 1 in Indiana and 14 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Jonathan Wicks
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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