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

Zachary John Boulden

Individual provider Physical Therapy Assistant · NPI 1912830738

Zachary John Boulden is a Physical Therapy Assistant in Tomah, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

501 Gopher Dr
Tomah, WI 54660-4513
Phone: (608) 372-2181
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 4347-19 (WI)

Record details

NPI number1912830738
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

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