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

Theresa Wicklund

Individual provider Developmental Therapist · NPI 1376905943

Theresa Wicklund is a Developmental Therapist in Florence, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2016
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Practice location Address checks out

4900 Houston Rd
Florence, KY 41042-4824
Phone: (859) 655-1195
Fax: (859) 655-1194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (KY)

Record details

NPI number1376905943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address4900 Houston Rd, Florence, KY 41042-4824

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