Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Lee Wickham

Individual provider Physical Therapy Assistant · NPI 1225654304

Amy Lee Wickham is a Physical Therapy Assistant in Etna, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
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Practice location Address checks out

14196 National Rd SW
Etna, OH 43068-3365
Phone: (740) 927-6782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 04376 (OH)

Record details

NPI number1225654304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing address6992 Optimara Dr, Pickerington, OH 43147-7766

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