NPI 1124642079

Matthew O'Connor

Practitioner Physical Therapist Hermantown, MN

Practice location

Address: 4195 Westberg Rd, Hermantown, MN 55811-2962
Phone: (218) 216-9921
Mailing address: 540 Falcon Crest Dr, Spearfish, SD 57783-3252

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 11839 (MN)

Other Physical Therapist providers in Minnesota →

Registry record

NPI: 1124642079
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2020
Record last updated: 5 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.