Mark R Tisdale PTA

  • NPI 1154626745
According to our database, the NPI number for Mark R Tisdale PTA is 1154626745 and activated since 13 years ago. Mark R Tisdale PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 10400 75th Street, Kenosha, WI 53142. You can also contact Mark R Tisdale PTA via telephone number is (262) 948-7045. Provider NPI information was last updated on 01/13/2011.

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Overview of Mark R Tisdale PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/13/2011
  • Last updated: 01/13/2011

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 897-019
  • License State: WI

Provider Mailing Address

  • Address: 10400 75th Street
    Kenosha, WI 53142
  • Phone: 262-948-7045
  • Fax: 262-948-7331

Provider Practice Location

  • Address: 10400 75th Street
    Kenosha, WI 53142
  • Phone: 262-948-7045
  • Fax: 262-948-7331

Scope of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 897-019
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mark R Tisdale PTA?
  • A: The npi number for Mark R Tisdale PTA is 1154626745.
  • Q: What are Mark R Tisdale PTA's specialties?
  • A: Mark R Tisdale PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for Mark R Tisdale PTA?
  • A: The medical license number for Mark R Tisdale PTA is 897-019 and issued in WI in USA.
  • Q: Where is Mark R Tisdale PTA practice location?
  • A: Mark R Tisdale PTA is practicing at 10400 75th Street, Kenosha, WI 53142.
  • Q: How to contact Mark R Tisdale PTA?
  • A: You can contact Mark R Tisdale PTA via 262-948-7045.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
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Physical Therapist
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Ph.D. Medical Genetics
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Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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