Doctor Name: | MATTHEW SHIRLEY |
NPI Number: | 1477750578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 04702 |
Business Practice Address: | 1817 Northpointe Lane Ruston, LA - 712703879 |
Business Phone Number: | 3182559601 |
Business Fax Number: | 3182557591 |
Mailing Address: | P.o. Box 1306, RUSTON |
State: | LA |
Postal Code: | 712731306 |
Phone Number: | 6182559601 |
Fax Number: | 3182557591 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 04702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |