Mathew S Harvey

Individual provider Active NPI Physical Therapy Assistant · Spring Arbor, MI

NPI 1578850004 · NPPES record last updated Jul 13, 2011

Key facts

NPI
1578850004
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
5502001741 (MI)
Practice address
151 2ND St
Spring Arbor, MI 49283-9647
Phone
(517) 750-1900
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5502001741MIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502001741 MI Yes

Addresses

Primary practice location

151 2ND St
Spring Arbor, MI 49283-9647

Mailing address

151 2ND St
Spring Arbor, MI 49283-9647
Phone (517) 750-1900

Other providers in Spring Arbor, MI

All providers in Spring Arbor, MI · Physical Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.