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

Ibrahim Atiq

Individual provider Physical Therapist · NPI 1154993947

Ibrahim Atiq is a Physical Therapist in Wildwood, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

16740 Hickory Crest Dr
Wildwood, MO 63011-5501
Phone: (636) 675-9075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2020029962 (MO)

Record details

NPI number1154993947
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address16740 Hickory Crest Dr, Wildwood, MO 63011-5501

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