Wade Wyckoff
Wade Wyckoff is a Physical Medicine and Rehabilitation in Shreveport, Louisiana. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 5
- Licensed in
- LA
- In the registry since
- 2021
Practice location Address checks out
1111 Line AveShreveport, LA 71101-3841
Phone: (318) 716-4545
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Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 346157 (LA) |
|---|
Record details
| NPI number | 1689243149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 20, 2021 |
| Last updated in NPPES | October 14, 2025 |
| Certification date | October 14, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Shreveport
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Regional Rehabilitation, LLC
1035 Margaret Pl, Shreveport, LA 71101-4315 · (318) 681-4900
-
Shah Medical Group APMC
5607 Mirador Cir, Shreveport, LA 71119-4009 · (318) 671-1745
-
Dr. Mrunalini B Shah, MD
1130 Louisiana Ave, Shreveport, LA 71101-3908 · (318) 678-4472
-
Wkh Physical Medicine Physicians
1111 Line Ave, Shreveport, LA 71101-3841 · (318) 716-4950