Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK PROBASCO, DPT
ActiveMARK PROBASCO, DPT is a Physical Therapy Assistant healthcare provider located in FOND DU LAC, Wisconsin. NPI 1356709190 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FOND DU LAC, WI
Registration Details
- NPI Number
- 1356709190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2016 (10.538419338264 yrs)
- Last Updated
- Dec 6, 2024
- License
-
15209 (WI)
Practice Information
- Address
-
727 W JOHNSON STFOND DU LAC, WI, 549352015Browse WI providers · Browse ZIP 54935
- Phone
- 9205810111
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| MR. SHANE D BAUER | P.T. | 1144200676 |
| NEIL J GAERTIG | PT | 1962459917 |
| DAWN M KRAUS | MS, PT | 1215984265 |
| WENDY M DILLE | PT | 1386684991 |
| JEFFREY S THIEL | PT | 1205877545 |
| AMY JO MCFADDEN | PT | 1881637494 |
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.