Dr. Julianne Matteson, PT
Physical Therapist in Hayden, ID. Individual provider (NPI-1).
NPI number1982147153
StatusActive
Last updated in NPPESDec 18, 2020
Details
- NPI
- 1982147153
- Entity type
- Individual (NPI-1)
- Name
- Dr. Julianne Matteson
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2016
- Certification date
- Dec 18, 2020
- Last updated
- Dec 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT5334 | ID | Yes |
| 225100000X | Physical Therapist | 006972 | KY |
Practice location
8944 N Hess St Ste BHayden, ID 83835-9183
Phone 208-762-0251 · Fax 208-762-0252
Mailing address
12579 N Avondale LoopHayden, ID 83835-7529
Phone 270-853-2570 · Fax 208-762-0252
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