Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ROBERT WILCOX, DPT
ActiveMARK ROBERT WILCOX, DPT is a Physical Therapy Assistant healthcare provider located in SHOREVIEW, Minnesota. NPI 1629505359 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHOREVIEW, MN
Registration Details
- NPI Number
- 1629505359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2017 (9.2376261608747 yrs)
- Last Updated
- Oct 25, 2021
- Licenses
-
1990 (SD)12361 (MN)
Practice Information
- Address
-
4570 CHURCHILL ST STE 300SHOREVIEW, MN, 551262274Browse MN providers · Browse ZIP 55126
- Phone
- 6514811071
- Fax
- 6514810042
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SHOREVIEW, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. ERIN FISHER BLACKFORD | PT | 1700990504 |
| KELLY LYNNE ROBERTS | DPT | 1215041025 |
| JAMES ROBERT OLSON JR. | PT ATC | 1396859112 |
| CAROL GILLIGAN | PT | 1053436089 |
| MS. MEGAN KARI FROST | P.T. | 1629287388 |
| KATHERINE ELIZABETH LAZENBY | PT | 1598967390 |
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.