Doctor Name: | MR. MATTHEW D. NEIBERG |
NPI Number: | 1356451538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | |
Business Practice Address: | 17431 N 71st Dr Suite 104 Glendale, AZ - 853088598 |
Business Phone Number: | 6237769111 |
Business Fax Number: | 6237769115 |
Mailing Address: | 12638 W Duane Ln, PEORIA |
State: | AZ |
Postal Code: | 853832470 |
Phone Number: | 6235664935 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |