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Organization
VIA PHYSICAL THERAPY LLC
Active
Organization
VIA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ELLISON DPT (OWNER)
(845) 453-4004
Entity
Organization
Contact information
Practice address
2114 WINNEBAGO ST, MADISON, WI 53704-5319
(608) 218-4466
Mailing address
30 POWERS AVE, MADISON, WI 53714-1834
(845) 453-4004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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