MARK R TISDALE PTA
NPI 1154626745
Physical Therapy Assistant in Kenosha, WI
About Mark R Tisdale Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK R TISDALE PTA (NPI 1154626745) is an individual physical therapy assistant in Kenosha, Wisconsin, licensed in Wisconsin (897-019) and active in the NPI registry since January 2011.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENOSHA, WI 53142
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Tisdale's NPI number?
The NPI number for Mark Tisdale is 1154626745. It was assigned to this individual provider in the NPPES registry on January 13, 2011.
Where is Mark Tisdale located?
Mark Tisdale practices at 10400 75th Street, Kenosha, WI 53142. The listed phone number is (262) 948-7045.
What is Mark Tisdale's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Mark Tisdale was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.