IndividualActive
Mark Frazier, RKT
NPI 1679502504 · Kinesiotherapist · Tomah, WI
Provider details
- NPI number
- 1679502504
- Entity type
- Individual
- Primary specialty
- KinesiotherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RKT
- Sex
- Male
- Sole proprietor
- No
- License
- 1168 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
500 E Veterans St
Tomah, WI 54660-3105
Phone: (608) 372-3971
Approximate (ZIP-level) locationGet directions
Mailing address
15052 Helm Rd
Tomah, WI 54660-6837
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.