Individual
MATTHEW RICHARD WISEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3155 W CRAIG RD STE 120140, NORTH LAS VEGAS, NV 89032-0782
(702) 639-2333
(702) 639-2334
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12255
AZ
225100000X
Physical Therapist
Primary
PT-6532
ID
Other
Enumeration date
06/09/2016
Last updated
05/29/2023
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