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NPI Code Detail

MEDICARE: JAMES A MARX PT

MEDICARE:   JAMES A MARX  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2786-024WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184791402
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A MARX PT
Provider Business Mailing Address
First Line : 202 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1507
Country : US
Telephone Number : 608-417-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2501 W BELTLINE HWY
Second Line :
City : MADISON
State : WI
Zip : 53713-2318
Country : US
Telephone Number : 608-417-6102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 12/23/2014

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Directions to “ JAMES A MARX PT” Practice Location

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