Individual
ZACHARIAH MUMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
1815 AVON ST, LA CROSSE, WI 54603-2139
(608) 317-3959
Mailing address
1815 AVON ST, LA CROSSE, WI 54603-2139
(608) 317-3959
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
85879
WI
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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