Matthew Landrum PTA

NPI 1053798942 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1053798942
Gender Male
Enumeration Date 04/30/2015
Last Updated 04/30/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
620 16TH ST
GERING NE, 69341-3908, US
Phone (308) 641-7590
Fax
Business Location
620 16TH ST
GERING NE, 69341-3908, US
Phone (308) 641-7590
Fax
Toxanomy
Taxonomy Code 225200000X
License State Nebraska
License Number 1383
Remove 1053798942 NPI Number
 

According to our database, Matthew Landrum PTA NPI is 1053798942, taxonomy code is 225200000X and license number is 1383, license state is located at Nebraska. Matthew Landrum PTA physically located at 620 16th St, Gering NE, 69341-3908. NPI Number Matthew Landrum PTA has the Individual type.

Sponsored links

1053798942 NPI number is provided on an as is basis without warranty of any kind. 1053798942 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Landrum PTA are for informational purposes only.