Kimberly Rene Matusevich in Blacksburg - Physical Therapist
Kimberly Rene Matusevich - NPI 1356339642
Kimberly Rene Matusevich is a Physical Therapist in Blacksburg, Virginia. Kimberly Rene Matusevich practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kimberly Rene Matusevich is 1356339642. The last update date is 2008-04-01.
Kimberly Rene Matusevich's current location address is 1901 S Main St, Blacksburg, Virginia. You can contact this provider via phone number 5405522294 and fax number 5405522296. The mailing address for Kimberly Rene Matusevich is 1901 S Main St, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Rene Matusevich |
|---|---|
| Address | 1901 S Main St, Blacksburg, Virginia |
| Phone Number | 5405522294 |
| Fax Number | 5405522296 |
| Sole Proprietor | N |
| Credentials | MPT, CLT |
NPI Number Detail
| NPI Number | 1356339642 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2008-04-01 |
Provider Mailing Address Detail
| Address | 1901 S Main St |
|---|---|
| City | Blacksburg |
| State | Virginia (VA) |
| Post Code | 240606600 |
| Phone Number | 5405522294 |
| Fax Number | 5405522296 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2305005833 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00360698 | VA | MEDICARE RAILROAD | |
| 369793 | VA | MAMSI | |
| 7525558 | VA | AETNA | |
| 106123 | VA | ANTHEM-BLACKSBURG OFFICE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kimberly Rene Matusevich by the Centers for Medicare & Medicaid Services?
The Kimberly Rene Matusevich has been issued the NPI (National Provider Identifier) 1356339642 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kimberly Rene Matusevich is geographically located?
The Kimberly Rene Matusevich is physically situated at the following location: 1901 S Main St, Blacksburg, VA, 240606600.
What is Kimberly Rene Matusevich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kimberly Rene Matusevich's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Kimberly Rene Matusevich receive its 1356339642 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Rene Matusevich was assigned its 1356339642 by the Centers for Medicare & Medicaid Services on 2005-10-11.
When was the information pertaining to Kimberly Rene Matusevich most recently updated or revised?
The details related to Kimberly Rene Matusevich, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-01.