Mrs Mitsue Alice Wilcoxson, ATC, PT - in West Lafayette, IN

Mrs Mitsue Alice Wilcoxson, ATC, PT is a Specialist/technologist - Athletic Trainer based in West Lafayette, Indiana. Mrs Mitsue Alice Wilcoxson is licensed to practice in Indiana (license number ) and her current practice location is 900 N University St, B63 Mackey Arena, Purdue University, West Lafayette, Indiana. She can be reached at her office (for appointments etc.) via phone at (765) 494-1703.

NPI number for Mrs Mitsue Alice Wilcoxson is 1649215450 and her current mailing address is 1709 Summit Dr, West Lafayette, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649215450.

Contact Information

Mrs Mitsue Alice Wilcoxson, ATC, PT
900 N University St, B63 Mackey Arena, Purdue University,
West Lafayette, IN 47907-2070
(765) 494-1703
(765) 494-9899

Map and Direction




Healthcare Provider's Profile

Full NameMrs Mitsue Alice Wilcoxson
GenderFemale
SpecialitySpecialist/technologist - Athletic Trainer
Location900 N University St, West Lafayette, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649215450
  • Provider Enumeration Date: 06/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Mitsue Alice Wilcoxson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649215450NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (Indiana)Primary
2255A2300XSpecialist/technologist - Athletic Trainer (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mitsue Alice Wilcoxson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Mitsue Alice Wilcoxson, ATC, PT
1709 Summit Dr,
West Lafayette, IN 47906-2229

Ph: (765) 497-0849
Mrs Mitsue Alice Wilcoxson, ATC, PT
900 N University St, B63 Mackey Arena, Purdue University,
West Lafayette, IN 47907-2070

Ph: (765) 494-1703

Reviews and Comments



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