Individual
TIMOTHY WYCKOFF NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
230520576
VA
225100000X
Physical Therapist
PT.012959
OH
225100000X
Physical Therapist
PT003198
WV
225100000X
Physical Therapist
PT005628
KY
225100000X
Physical Therapist
PT5578
NM
225100000X
Physical Therapist
Primary
PT7141
ME
Other
Enumeration date
07/06/2010
Last updated
06/16/2025
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