MS. HOLLY D WICKENHAUSER (ATC) – Athletic Trainer, NPI 1659546422
Athletic Trainer
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. HOLLY D WICKENHAUSER (ATC)
1111, Trinity Lane, Bloomington, McLean County, Illinois, 61704, United States
SUITE 111
BLOOMINGTON, IL 617048111
Phone: (309) 663-6461
Fax: (309) 663-5711
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61704)
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