Individual
JAMES WACKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3780 MEDINA RD STE 300, MEDINA, OH 44256-9312
(234) 867-7749
(234) 312-2456
Mailing address
1217 HATHAWAY AVE, LAKEWOOD, OH 44107-2721
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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