Individual
MELISSA B MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
W6981 PARKVIEW DR, GREENVILLE, WI 54942-8034
(920) 738-2000
Mailing address
W6981 PARKVIEW DR, GREENVILLE, WI 54942-8034
(920) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11442
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100011032
—
WI
Enumeration date
07/02/2010
Last updated
07/19/2023
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