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

Mr. Mark W Wisenor, PT

Individual provider Physical Therapist · NPI 1093976326

Mr. Mark W Wisenor, PT is a Physical Therapist in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
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

3720 S Indiana Ave
Caldwell, ID 83605-6457
Phone: (208) 459-6041
Fax: (208) 459-0346
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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 1455 (ID)

Record details

NPI number1093976326
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 19, 2008
Last updated in NPPESJune 19, 2008

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