Doctor Name: | MATTHEW LEE DEWALD |
NPI Number: | 1477872950 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 004571 |
Business Practice Address: | 8550 W 38th Ave 106b Wheat Ridge, CO - 800334300 |
Business Phone Number: | 3039533163 |
Business Fax Number: | 2022450726 |
Mailing Address: | 8550 W 38th Ave, 106b WHEAT RIDGE |
State: | CO |
Postal Code: | 800334300 |
Phone Number: | 3039533163 |
Fax Number: | 2022450726 |
NPI Enumeration Date: | 05/24/2010 |
NPI Last Update Date: | 05/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 004571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |