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

Mr. Jon Mark Wahlstrom, PTA

Individual provider Physical Therapy Assistant · NPI 1033583182

Mr. Jon Mark Wahlstrom, PTA is a Physical Therapy Assistant in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

7604 145th Street Ct E
Puyallup, WA 98375-7095
Phone: (253) 278-2291
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 P160038469 (WA)

Record details

NPI number1033583182
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 29, 2015
Last updated in NPPESNovember 29, 2015

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