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NPI Code Detail

MEDICARE: MATTHEW CRONK

MEDICARE: MATTHEW CRONK
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1740972223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW CRONK
Provider Business Mailing Address
First Line : PO BOX 8466
Second Line :
City : KALISPELL
State : MT
Zip : 59904-1466
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 HOLT DR
Second Line :
City : BIGFORK
State : MT
Zip : 59911-6218
Country : US
Telephone Number : 406-837-3255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 05/23/2023

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Directions to “ MATTHEW CRONK ” Practice Location

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