Terry Kevin Mattice in Ithaca - Physical Therapy Assistant
Terry Kevin Mattice - NPI 1790902880
Terry Kevin Mattice is a Physical Therapy Assistant in Ithaca, New York. Terry Kevin Mattice practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Terry Kevin Mattice is 1790902880. The last update date is 2007-07-08.
Terry Kevin Mattice's current location address is 136 Pine Tree Rd, Ithaca, New York. You can contact this provider via phone number 6072729789. The mailing address for Terry Kevin Mattice is 136 Pine Tree Rd, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Kevin Mattice |
|---|---|
| Address | 136 Pine Tree Rd, Ithaca, New York |
| Phone Number | 6072729789 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1790902880 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 136 Pine Tree Rd |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148506332 |
| Phone Number | 6072729789 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 36971 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the Terry Kevin Mattice's 1790902880?
The Terry Kevin Mattice's NPI (National Provider Identifier) Number is 1790902880. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Terry Kevin Mattice is physically located?
The Terry Kevin Mattice is physically situated at the following address: 136 Pine Tree Rd, Ithaca, NY, 148506332.
What is Terry Kevin Mattice's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terry Kevin Mattice is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.
On what date did the Terry Kevin Mattice receive its 1790902880 assignment from the Centers for Medicare & Medicaid Services?
The Terry Kevin Mattice was assigned its 1790902880 by the Centers for Medicare & Medicaid Services on 2007-04-19.
When was the Terry Kevin Mattice's information last updated?
The Terry Kevin Mattice's information was last updated on 2007-07-08.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV