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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK FREDERICK, P.T.

Active Sole Proprietor

MR. MARK FREDERICK, P.T. is a Physical Therapy Assistant healthcare provider located in PAOLA, Kansas. NPI 1306234604 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PAOLA, KS

Registration Details

NPI Number
1306234604
Provider Type
Individual
Gender
Male
NPI Issued
Jan 8, 2015 (11.555894340547 yrs)
Last Updated
Jan 8, 2015
License
11-03035 (KS)
Sole Proprietor
Yes

Practice Information

Address
908 N PEARL ST
PAOLA, KS, 660711140
Browse KS providers · Browse ZIP 66071
Phone
9132944308
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PAOLA, KS

Name Credential NPI
MRS. ANNA COLLEEN FOXWORTHY MSPT 1770605776
JOSEPH ALLEN BURBEE PT, DPT 1255196671
BRADEN SEBOE 1790576965
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.