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NPI Code Detail

MEDICARE: DR. MATTHEW DAVID HIMSEY PT

MEDICARE: DR. MATTHEW DAVID HIMSEY PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT32035CA

General Provider Information

NPI Number : 1538239660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW DAVID HIMSEY PT
Provider Business Mailing Address
First Line : 28582 SANTA CATARINA RD
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350
Country : US
Telephone Number : 818-484-1208
Fax Number :
Provider Business Practice Location Address
First Line : 2560 COLORADO BLVD
Second Line :
City : EAGLE ROCK
State : CA
Zip : 90041-1005
Country : US
Telephone Number : 323-255-5409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/21/2022

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Directions to “ DR. MATTHEW DAVID HIMSEY PT” Practice Location

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