Melissa Mattioda
Physical Therapist - Neurology
1050 E Broadway
Monona
, Wisconsin 53716-4023
Melissa Mattioda
Physical Therapist - Neurology
1050 E Broadway
Monona
, Wisconsin 53716-4023
(608) 890-6110
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Melissa Mattioda
- 1050 E Broadway
- Monona, WI
- Zip : 53716-4023
- Phone : (608) 890-6110
Second Address
- Melissa Mattioda
- 1050 E Broadway
- Monona, WI
- Zip : 53716-4023
- Phone : (608) 890-6110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | 070016541 | IL |
National Provider Identifier
| NPI | 1548417363 |
|---|---|
| Provider Name | Melissa Mattioda |
| First Address | Monona, WI 53716-4023 |
| Second Address | Monona, WI 53716-4023 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2008 |
| Last Update Date | 31/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.