Matthew Donald Dover, PTA
Individual provider Active NPI Physical Therapy Assistant · Wahoo, NE
NPI 1669899423 · NPPES record last updated Mar 18, 2014
Key facts
- NPI
- 1669899423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1045 (NE)
- Practice address
- 1760 County Road J
Wahoo, NE 68066-4152 - Phone
- (402) 443-4191
- Fax
- (402) 443-1445
- NPI assigned
- Mar 18, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1045 | NE | Yes |
Addresses
Primary practice location
1760 County Road J
Wahoo, NE 68066-4152
Mailing address
1760 County Road J
Wahoo, NE 68066-4152
Phone (402) 443-4191
Other providers in Wahoo, NE
- CRMT Inc.
- Cameron Curtis
- Daileys Clinic Pharmacy Inc
- Daileys Clinic Phcy Inc
- Claudia Jan Davis
- Amy Dunlap
- Hannah Nicole Ehresman
- Angela Jean Evans
- Family Healthcare of Wahoo, LLC
- Mary L. Filipi
All providers in Wahoo, NE · Physical Therapy Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.