Doctor Name: | DR. MATTHEW ALLAN GRAYSON MIDKIFF |
NPI Number: | 1194752907 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT DPT CSCS |
License Number: | 5882 |
Business Practice Address: | 825 E Warner Rd Ste C-100 Chandler, AZ - 852250994 |
Business Phone Number: | 4807220300 |
Business Fax Number: | 4807220302 |
Mailing Address: | 825 E Warner Rd, Ste C-100 CHANDLER |
State: | AZ |
Postal Code: | 852250994 |
Phone Number: | 4807220300 |
Fax Number: | 4807220302 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 12/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |