Jonathan Wicks, ATC, LAT, M.ED is a sports medicine psychiatry neurology in Bloomington, IN. The provider is a psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries. Jonathan Wicks, ATC, LAT, M.ED NPI is 1003341918. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1001 E 17TH ST
BLOOMINGTON, IN
ZIP 47408-590
Phone: (812) 855-7920
The enumeration date for this NPI number is 4/28/2017 and was last updated on 4/28/2017.