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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACI LILIEDAHL-MATIYOW, DPT

Active

STACI LILIEDAHL-MATIYOW, DPT is a Physical Therapy Assistant healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1831592708 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · COUNCIL BLUFFS, IA

Registration Details

NPI Number
1831592708
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2014 (11.862238488576 yrs)
Last Updated
Oct 6, 2014
Licenses
03634 (IA)
2218 (NE)

Practice Information

Address
201 W BROADWAY
COUNCIL BLUFFS, IA, 515039004
Browse IA providers · Browse ZIP 51503
Phone
7123299419
Fax
7123290329
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in COUNCIL BLUFFS, IA

Name Credential NPI
MR. MICHAEL BRIAN UHRLAUB MPT 1912975087
MR. DAVID W. SCHREMMER PT 1679534325
MS. BARBARA J VAN GORP MPT, DPT, CSCS 1528160249
DR. GILBERT M. WILLETT P.T., PH.D. 1144434176
JENNIFER NOURSE DPT 1033302781
ERICK J. ALVERIO P.T. 1790960193
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.