Provider Demographics
NPI:1699174151
Name:PULWERS, MARKUS (DPT)
Entity type:Individual
Prefix:
First Name:MARKUS
Middle Name:
Last Name:PULWERS
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79470 PLUMMERS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-2643
Mailing Address - Country:US
Mailing Address - Phone:904-864-8805
Mailing Address - Fax:
Practice Address - Street 1:79470 PLUMMERS CREEK DR
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-2643
Practice Address - Country:US
Practice Address - Phone:904-864-8805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29483225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist