Search › Missouri › 111N00000X
Tyler Wicks, D.C
NPI 1538297494 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4301 Rainbow Trout Drive, #103
Columbia, MO 65203 - Phone
- (573) 424-5799
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri