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Matthew Blievernicht, PT
NPI 1760640213 · on the registry since 2008
Practice
- Address
- N15w28300 Golf Rd
Pewaukee, WI 53072 - Phone
- (262) 303-5055
- Fax
- (262) 303-5057
- Organisation at this address
- The Orthopaedic Surgery Center Llc
Orthopaedic Associates Of Wisconsin, ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Additional practice sites
- 15280 Nw Central Dr, Portland, OR
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Also registered as
- Physical Therapist
- Licence states on file
- OR, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin