Doctor Name: | MICHAEL L MATTHEWS |
NPI Number: | 1376848895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1200620 |
Business Practice Address: | 1545 E Southlake Blvd Suite 100 Southlake, TX - 760926422 |
Business Phone Number: | 8174429300 |
Business Fax Number: | 8177960763 |
Mailing Address: | 1545 E Southlake Blvd, Suite 100 SOUTHLAKE |
State: | TX |
Postal Code: | 760926422 |
Phone Number: | 8174429300 |
Fax Number: | 8177960763 |
NPI Enumeration Date: | 01/13/2011 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1200620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |