IndividualActive
Matthew Thomas
NPI 1104754795 · Pediatric Physical Therapist · De Pere, WI
Provider details
- NPI number
- 1104754795
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
755 Scheuring Rd
De Pere, WI 54115-1701
Phone: (920) 336-5754
Fax: (920) 336-2978
Approximate (ZIP-level) locationGet directions
Mailing address
136 W Main St
Coleman, WI 54112-9703
Registry dates
- Enumerated
- 2026-05-12
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.