IndividualActive
Kayla Wicks, CPO, LPO
NPI 1033875240 · Orthotist · Longview, WA
Provider details
- NPI number
- 1033875240
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO, LPO
- Sex
- Female
- Sole proprietor
- Yes
- License
- PS61132736 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1516 Hudson St Ste 105
Longview, WA 98632-3046
Phone: (360) 423-6049
Approximate (ZIP-level) locationGet directions
Mailing address
830 Gish Rd
Onalaska, WA 98570-9529
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2021-11-11
- Certified
- 2021-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.