Individual
NIKLAAS MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
307 7TH ST N, WAHPETON, ND 58075-4231
(218) 391-1720
Mailing address
416 14TH ST N APT 2, BRECKENRIDGE, MN 56520-1724
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11830
MN
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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