Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Mazur, MSPT

Individual provider Physical Therapist · NPI 1710097241

Douglas Mazur, MSPT is a Physical Therapist in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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Practice location Address checks out

224 Butternut St
West Bend, WI 53095-4910
Phone: (262) 365-0650
Fax: (262) 365-0651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4798 (WI)

Record details

NPI number1710097241
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address11501 N Parkview Dr, Mequon, WI 53092-1920

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