Individual
MATTHEW WANDERSCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1231 S G AVE, NEVADA, IA 50201-2717
(515) 382-3366
(515) 382-1576
Mailing address
130 N 1ST ST, CARLISLE, IA 50047-7810
(515) 989-0100
(515) 989-0195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
082438
IA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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