Doctor Name: | DR. CHRISTOPHER CALVIN MATHEWS |
NPI Number: | 1356600092 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 0000008925 |
Business Practice Address: | 702 Grove St Suite 204 Loudon, TN - 377741481 |
Business Phone Number: | 8656579783 |
Business Fax Number: | 8656579998 |
Mailing Address: | 702 Grove St, Suite 204 LOUDON |
State: | TN |
Postal Code: | 377741481 |
Phone Number: | 8656579783 |
Fax Number: | 8656579998 |
NPI Enumeration Date: | 05/15/2012 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 0000008925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |