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

Mr. Mark W Lavrack Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1033801154

Mr. Mark W Lavrack Jr., PTA is a Physical Therapy Assistant in Gaylord, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

111 S Michigan Ave Apt 101
Gaylord, MI 49735-2724
Phone: (989) 213-3932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502005718 (MI)

Record details

NPI number1033801154
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 25, 2023
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

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