Madison Jo Thralow, PT, DPT
Physical Medicine & Rehabilitation in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1639959331
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1639959331
- Entity type
- Individual (NPI-1)
- Name
- Madison Jo Thralow
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2023
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 13232 | MN | Yes |
Practice location
2835 W Saint Germain StSaint Cloud, MN 56301-6280
Phone 320-259-4151
Mailing address
31019 Goldfinch LnSaint Cloud, MN 56301-7403
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