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

Taylor Wickman

Individual provider Physical Therapist · NPI 1922719632

Taylor Wickman is a Physical Therapist in Oak Creek, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
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Practice location Address checks out

2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Phone: (414) 435-2005
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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 15942-24 (WI)

Record details

NPI number1922719632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022
Mailing address2543 W Applebrook Ln Apt 209, Oak Creek, WI 53154-8820

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