Mr. Mark Wayne Frazier
Kinesiotherapist
500 E Veterans St
Tomah
, Wisconsin 54660-3105
Mr. Mark Wayne Frazier
Kinesiotherapist
500 E Veterans St
Tomah
, Wisconsin 54660-3105
(608) 372-0797
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mr. Mark Wayne Frazier
- 15052 Helm Rd
- Tomah, WI
- Zip : 54660-6837
- Phone : (608) 372-0797
Second Address
- Mr. Mark Wayne Frazier
- 500 E Veterans St
- Tomah, WI
- Zip : 54660-3105
- Phone : (608) 372-3971
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | 1168 | IL |
National Provider Identifier
| NPI | 1679502504 |
|---|---|
| Provider Name | Mr. Mark Wayne Frazier |
| First Address | Tomah, WI 54660-6837 |
| Second Address | Tomah, WI 54660-3105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.