| Doctor Name: | MATTHEW MADERE |
| NPI Number: | 1194753129 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 06567 |
| Business Practice Address: | 400 W Saint Francis St Suite C1 Brusly, LA - 707192283 |
| Business Phone Number: | 2257498980 |
| Business Fax Number: | 2257499096 |
| Mailing Address: | 11320 Industriplex Boulevard, BATON ROUGE |
| State: | LA |
| Postal Code: | 70809 |
| Phone Number: | 2252958183 |
| Fax Number: | 2257522937 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 06567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| 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 |