# DR. JARED WICHERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861863318
- **Gender:** Man
- **Credential:** D.P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 9428 | SC | Yes |
| 225100000X | Physical Therapist | PT 30731 | FL | — |

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 12/11/2024