Individual
MATTHEW D. IRONSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54495-8080
(715) 424-8500
(715) 424-8502
Mailing address
P.O. BOX 8080, 410 DEWEY ST, WISCONSIN RAPIDS, WI 54495-8080
(715) 424-8500
(715) 424-8502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11174-24
WI
Other
Enumeration date
05/12/2009
Last updated
03/18/2013
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