Individual provider · Type 1 NPI

Zachary John Boulden

Physical Therapy Assistant · Tomah, WI

NPI number 1912830738 Active

Practice location

501 Gopher Dr
Tomah, WI 54660-4513

Call (608) 372-2181 Map

Mailing address

1707 Bridger Dr
Holmen, WI 54636-8847

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X4347-19 (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 1912830738

Zachary John Boulden's National Provider Identifier is 1912830738, issued on Jun 3, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tomah, WI. The record was last updated on Jun 3, 2026.