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

Kayla Wicks, CPO, LPO

Individual provider Prosthetist · NPI 1033875240

Kayla Wicks, CPO, LPO is a Prosthetist in Longview, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1516 Hudson St Ste 105
Longview, WA 98632-3046
Phone: (360) 423-6049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence OI61230221 (WA)
Prosthetist Taxonomy 224P00000X · Licence PS61132736 (WA)

Record details

NPI number1033875240
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPO , LPO
Sole proprietorYes
NPI enumeratedNovember 11, 2021
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

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