Mark Jagodzinski, PT

NPI 1891732467 · on the registry since 2006 · sole proprietor

Practice

Address: 12515 W Bell Rd Ste 103
Surprise, AZ 85378
Phone: (623) 234-4171
Fax: (623) 234-4173
Organisation at this address: Modern Sports Medicine Llc
Rise Orthopedic And Sports Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Also registered as: 225100000X
2251G0304X
2251H1200X
2251P0200X
2251S0007X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona