MEDICARE: MATTHEW URMANSKI DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		MN

General Provider Information

NPI Number	:	1184314700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW URMANSKI DPT

Provider Business Mailing Address
First Line	:	2510 MAPLE GROVE RD STE 200
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55811-1824
Country	:	US
Telephone Number	:	218-722-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 MAPLE GROVE RD STE 200
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55811-1824
Country	:	US
Telephone Number	:	218-722-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/30/2023

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