Doctor Name: | MATTHEW RYAN HAGENMAIER |
NPI Number: | 1225325541 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | T-02998 |
Business Practice Address: | 4201 Anderson Ave Suite B Manhattan, KS - 665037602 |
Business Phone Number: | 7857760670 |
Business Fax Number: | 7857760096 |
Mailing Address: | 426 Mccall Rd, Suite A MANHATTAN |
State: | KS |
Postal Code: | 665025032 |
Phone Number: | 7857760670 |
Fax Number: | 7857760096 |
NPI Enumeration Date: | 07/07/2011 |
NPI Last Update Date: | 07/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | T-02998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |