NPI 1679502504

Mark Wayne Frazier, RKT

Practitioner Kinesiotherapist Tomah, WI

Practice location

Address: 500 E Veterans St, Tomah, WI 54660-3105
Phone: (608) 372-3971
Mailing address: 15052 Helm Rd, Tomah, WI 54660-6837

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X Licence 1168 (IL)

Other Kinesiotherapist providers in Wisconsin →

Registry record

NPI: 1679502504
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.