MEDICARE: LESLIE D WOKICH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172M00000X	Mechanotherapist

General Provider Information

NPI Number	:	1114860855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE D WOKICH

Provider Business Mailing Address
First Line	:	689 CHUCKANUT DR N
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-6920
Country	:	US
Telephone Number	:	360-305-5099
Fax Number	:

Provider Business Practice Location Address
First Line	:	689 CHUCKANUT DR N
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-6920
Country	:	US
Telephone Number	:	360-305-5099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ LESLIE D WOKICH ” Practice Location

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