NPI 1164084760

Matthew James Osborne, PT

Practitioner Physical Therapist Shawano, WI

Practice location

Address: 100 County Road B, Shawano, WI 54166-7072
Phone: (715) 526-7370
Fax: (999) 999-9999
Mailing address: 122 E College Ave, Appleton, WI 54911-5794

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 14680 (WI)

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Registry record

NPI: 1164084760
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2019
Record last updated: 3 Jul 2019

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.