Individual
ZACHARY JOHN BOULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
1707 BRIDGER DR, HOLMEN, WI 54636-8847
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4347-19
WI
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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