Individual
JAMES MICHAEL WIXWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
420 OHIO ST, BELLINGHAM, WA 98225-4637
(360) 714-0870
(360) 714-0872
Mailing address
420 OHIO ST, BELLINGHAM, WA 98225-4637
(360) 714-0870
(360) 714-0872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61189901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT61189901
PHYSICAL THERAPIST LICENSE
WA
Enumeration date
08/31/2021
Last updated
03/09/2023
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