Individual
MATTHEW D HABERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(715) 838-3635
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11051-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11051-24
WISCONSIN STATE LICENSE PT
WI
01
—
773-039
WISCONSIN LICENSE ATHLETIC TRAINER
WI
Enumeration date
10/09/2008
Last updated
07/21/2022
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