Individual
MRS. TRISHA LYNN WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
460 6TH STREET, WAUKEE, IA 50263-0024
(515) 978-6017
Mailing address
P.O. BOX 24, 460 6TH STREET,, WAUKEE, IA 50263-0024
(515) 978-6017
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
03008
IA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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