| Doctor Name: | MATTHEW HIXON |
| NPI Number: | 1093132623 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT 012010 |
| Business Practice Address: | 13944 Euclid Ave East Cleveland, OH - 441123804 |
| Business Phone Number: | 2167674202 |
| Business Fax Number: | |
| Mailing Address: | 13944 Euclid Ave, EAST CLEVELAND |
| State: | OH |
| Postal Code: | 441123804 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2014 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT 012010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |