Individual
MATT TJELTVEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GALLETTI WAY, BLDG. 8N, SPARKS, NV 89431-5564
(775) 688-1633
(775) 688-1640
Mailing address
480 GALLETTI WAY, BLDG. 8N, SPARKS, NV 89431-5564
(775) 688-1633
(775) 688-1640
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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