Doctor Name: | MATTHEW BOYD BENNION |
NPI Number: | 1457743239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT42294 |
Business Practice Address: | 844 Bridge St Suite C Colusa, CA - 959322867 |
Business Phone Number: | 5304587770 |
Business Fax Number: | 5304587735 |
Mailing Address: | Po Box 493396, REDDING |
State: | CA |
Postal Code: | 960493396 |
Phone Number: | 5302219952 |
Fax Number: | 5302219910 |
NPI Enumeration Date: | 03/03/2015 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT42294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |