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

Zachariah Mumm, CTRS

Individual provider Recreation Therapist · NPI 1629953401

Zachariah Mumm, CTRS is a Recreation Therapist in LA Crosse, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

1815 Avon St
LA Crosse, WI 54603-2139
Phone: (608) 317-3959
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 85879 (WI)

Record details

NPI number1629953401
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorYes
NPI enumeratedAugust 9, 2025
Last updated in NPPESAugust 9, 2025
Certification dateAugust 9, 2025