Mark Wisenor, P.T

NPI 1093976326 · on the registry since 2008

Practice

Address: 3720 S Indiana Ave
Caldwell, ID 83605
Phone: (208) 459-6041
Fax: (208) 459-0346
Organisation at this address: West Valley Medical Center
West Valley Medical Center, Inc.
West Valley Therapy Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho