Melissa Mattioda, DPT | |
5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 | |
(608) 263-7740 | |
Not Available |
Full Name | Melissa Mattioda |
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Gender | Female |
Speciality | Physical Therapist |
Location | 5543 E Cheryl Pkwy, Fitchburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548417363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12209-24 (Wisconsin) | Primary |
Provider Name | University Of Wisconsin Medical Foundation Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Mailing Address | Practice Location Address |
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Melissa Mattioda, DPT 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Melissa Mattioda, DPT 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 Ph: (608) 263-7740 |
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