Individual
DR. MATTHEW ALLEN YSTAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1139 S 12TH ST, BISMARCK, ND 58504-6631
(701) 250-3110
Mailing address
316 14TH ST N, NEW ROCKFORD, ND 58356-1102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1614
ND
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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