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

Mark Frederick Wollum, PT

Individual provider Physical Therapist · NPI 1275745614

Mark Frederick Wollum, PT is a Physical Therapist in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1235 S 24th St
Manitowoc, WI 54220-5516
Phone: (920) 682-8254
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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 3568-024 (WI)

Record details

NPI number1275745614
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 6, 2007
Last updated in NPPESJuly 8, 2007
Mailing address108 Smith Dr, Beaver Dam, WI 53916-2746

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