Individual
LOGAN WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 SW ORALABOR RD STE F, ANKENY, IA 50023-7147
(515) 963-5550
(515) 963-5551
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
136561
IA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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