| Doctor Name: | DR. MATTHEW WILLIAM NAGLE |
| NPI Number: | 1578912853 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT012339 |
| Business Practice Address: | 545 Old Norcross Rd Suite 100 Lawrenceville, GA - 300463389 |
| Business Phone Number: | 6783772833 |
| Business Fax Number: | 6783772882 |
| Mailing Address: | 2325 Prickly Pear Walk, LAWRENCEVILLE |
| State: | GA |
| Postal Code: | 300436345 |
| Phone Number: | 7702318888 |
| Fax Number: | 7709950005 |
| NPI Enumeration Date: | 06/08/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT012339 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |