Individual
DR. JULIANNE MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8944 N HESS ST STE B, HAYDEN, ID 83835-9183
(208) 762-0251
(208) 762-0252
Mailing address
12579 N AVONDALE LOOP, HAYDEN, ID 83835-7529
(270) 853-2570
(208) 762-0252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006972
KY
225100000X
Physical Therapist
Primary
PT5334
ID
Other
Enumeration date
11/21/2016
Last updated
12/18/2020
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