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NPI Code Detail

MEDICARE: MR. MATTHEW PAUL WYLUBSKI PT/DPT

MEDICARE: MR. MATTHEW PAUL WYLUBSKI PT/DPT
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 Therapist2263NV

General Provider Information

NPI Number : 1639326820
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW PAUL WYLUBSKI PT/DPT
Provider Business Mailing Address
First Line : 6440 MEDICAL CENTER ST
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89148-2404
Country : US
Telephone Number : 702-222-1000
Fax Number :
Provider Business Practice Location Address
First Line : 6440 MEDICAL CENTER ST
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89148-2404
Country : US
Telephone Number : 702-222-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 08/19/2008

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Directions to “ MR. MATTHEW PAUL WYLUBSKI PT/DPT” Practice Location

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