MATTHEW LEE MAXON

SIOUX FALLS, SD
NPI1851557557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SD  1430)
Enumeration Date2008-08-01
Last Update Date2009-10-12
Business Address
-- MATTHEW LEE MAXON P.T.
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone number: 605-331-5890
Mailing Address
-- MATTHEW LEE MAXON P.T.
PO BOX 5116
SIOUX FALLS, SD 57117-5116
Phone number: 605-331-5890
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