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

Vicki Denice Wade, PT

Individual provider Physical Therapist · NPI 1417424862

Vicki Denice Wade, PT is a Physical Therapist in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

545 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-3390
Phone: (678) 377-2833
Fax: (678) 377-2882
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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 1073039 (TX)

Record details

NPI number1417424862
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 24, 2018
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address665 Gallagher Rd, Mc Queeney, TX 78123-3282

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