Individual
THERESA WICKLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 655-1195
(859) 655-1194
Mailing address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 655-1195
(859) 655-1194
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201114472
IECE CERTIFICATION
KY
Enumeration date
03/23/2016
Last updated
05/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us