Individual
MATTHEW CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
900 2ND AVE, MADISON, MN 56256-1006
(320) 698-7162
Mailing address
900 2ND AVE, MADISON, MN 56256-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1833
SD
225100000X
Physical Therapist
Primary
9951
MN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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