Individual
MARIA MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
(605) 642-5955
Mailing address
520 N CANYON ST, SPEARFISH, SD 57783-2320
(605) 642-7996
(605) 642-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2096
SD
225100000X
Physical Therapist
OR 60321
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0394979
WA L&I
SD
Enumeration date
11/12/2014
Last updated
10/12/2020
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