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

Mrs. Renee Georgette Wickham, MSPT

Individual provider Physical Therapist · NPI 1609902477

Mrs. Renee Georgette Wickham, MSPT is a Physical Therapist in Merritt Island, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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Practice location Address checks out

595 N Courtenay Pkwy #203
Merritt Island, FL 32953-4851
Phone: (321) 453-8484
Fax: (321) 453-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT21160 (FL)

Record details

NPI number1609902477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorYes
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007

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