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

Mrs. Patricia Wickholm

Individual provider Physical Therapist · NPI 1528479292

Mrs. Patricia Wickholm is a Physical Therapist in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014

Practice location Address checks out

1501 Hartford St
Lafayette, IN 47904-2134
Phone: (765) 423-6099
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05007329A (IN)

Record details

NPI number1528479292
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2014
Last updated in NPPESMay 15, 2014

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