IndividualActive
Zachariah Mumm, CTRS
NPI 1629953401 · Recreation Therapist · La Crosse, WI
Provider details
- NPI number
- 1629953401
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 85879 (WI)
Mailing address
1815 Avon St
La Crosse, WI 54603-2139
Registry dates
- Enumerated
- 2025-08-09
- Last updated
- 2025-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.