Doctor Name: | MRS. CARRIE S MATTER |
NPI Number: | 1336198688 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, PT |
License Number: | 7462 |
Business Practice Address: | 3257 W 116th Ave Westminster, CO - 800317135 |
Business Phone Number: | 3034655540 |
Business Fax Number: | |
Mailing Address: | 4045 Wadsworth Blvd, Suite #10 WHEAT RIDGE |
State: | CO |
Postal Code: | 800334642 |
Phone Number: | 3039401611 |
Fax Number: | 3034322296 |
NPI Enumeration Date: | 05/06/2006 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 7462 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |