| Doctor Name: | DR. MATTHEW NICHOLAS BALLOS |
| NPI Number: | 1083878003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT019397 |
| Business Practice Address: | 2825 Earlystown Rd Centre Hall, PA - 168289108 |
| Business Phone Number: | 8143643290 |
| Business Fax Number: | 8143643295 |
| Mailing Address: | 310 Penn St, Suite 103 HOLLIDAYSBURG |
| State: | PA |
| Postal Code: | 166482044 |
| Phone Number: | 8146952923 |
| Fax Number: | 8146952924 |
| NPI Enumeration Date: | 07/18/2008 |
| NPI Last Update Date: | 10/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT019397 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |