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

Chantel Justina Wickham, PT

Individual provider Physical Therapist · NPI 1316380850

Chantel Justina Wickham, PT is a Physical Therapist in Bemidji, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3835 Supreme Ct NW #2
Bemidji, MN 56601-4446
Phone: (218) 444-8280
Fax: (218) 444-8337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MN)

Record details

NPI number1316380850
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 15, 2013
Last updated in NPPESApril 15, 2013

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