Doctor Name: | MRS. KIMBERLY RENE MATUSEVICH |
NPI Number: | 1356339642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, CLT |
License Number: | 2305005833 |
Business Practice Address: | 1901 S Main St Suite 8 Blacksburg, VA - 240606600 |
Business Phone Number: | 5405522294 |
Business Fax Number: | 5405522296 |
Mailing Address: | 1901 S Main St, Suite 8 BLACKSBURG |
State: | VA |
Postal Code: | 240606600 |
Phone Number: | 5405522294 |
Fax Number: | 5405522296 |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305005833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |