Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW G WAFFENSMITH, PTA
ActiveMATTHEW G WAFFENSMITH, PTA is a Occupational Therapist healthcare provider located in DEERWOOD, Minnesota. NPI 1275856353 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DEERWOOD, MN
Registration Details
- NPI Number
- 1275856353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2010 (16.428294549474 yrs)
- Last Updated
- Mar 3, 2010
- License
-
A1243 (MN)
Practice Information
- Address
-
15335 WOODLAND BEACH RDDEERWOOD, MN, 564448607Browse MN providers · Browse ZIP 56444
- Phone
- 2188510213
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.