| Doctor Name: | MR. MATTHEW JOHN TIBERT |
| NPI Number: | 1023013695 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, CSCS |
| License Number: | 15545 |
| Business Practice Address: | 385 W Central St Franklin, MA - 020381833 |
| Business Phone Number: | 5085280147 |
| Business Fax Number: | |
| Mailing Address: | 385 W Central St, FRANKLIN |
| State: | MA |
| Postal Code: | 020381833 |
| Phone Number: | 5085280147 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2005 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 15545 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |