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

Mark Dodge

Individual provider Physical Therapy Assistant · NPI 1295183580

Mark Dodge is a Physical Therapy Assistant in Peshtigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016

Practice location Address checks out

701 Willow St
Peshtigo, WI 54157-1165
Phone: (715) 582-0144
Fax: (715) 582-0803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2053 (WI)

Record details

NPI number1295183580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2016
Last updated in NPPESMay 27, 2016
Mailing addressN1945 Shore Dr, Marinette, WI 54143-9213

Other providers in Peshtigo