Individual provider · Type 1 NPI

Mark Dodge

Physical Therapy Assistant · Peshtigo, WI

NPI number 1295183580 Active

Practice location

701 Willow St
Peshtigo, WI 54157-1165

Call (715) 582-0144 Map

Fax (715) 582-0803

Mailing address

N1945 Shore Dr
Marinette, WI 54143-9213

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2053 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1295183580

Mark Dodge's National Provider Identifier is 1295183580, issued on May 27, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Peshtigo, WI. The record was last updated on May 27, 2016.