Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew G Waffensmith, PTA

Individual provider Physical Therapy Assistant · NPI 1275856353

Matthew G Waffensmith, PTA is a Physical Therapy Assistant in Deerwood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

15335 Woodland Beach Rd
Deerwood, MN 56444-8607
Phone: (218) 851-0213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A1243 (MN)

Record details

NPI number1275856353
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 3, 2010
Last updated in NPPESMarch 3, 2010