Healthcare Provider Details

I. General information

NPI: 1942120365
Provider Name (Legal Business Name): MATTHEW CHARLES DOWNS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MATT DOWNS

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 30TH ST
DES MOINES IA
50310-5753
US

IV. Provider business mailing address

3600 30TH ST
DES MOINES IA
50310-5753
US

V. Phone/Fax

Practice location:
  • Phone: 515-699-5413
  • Fax:
Mailing address:
  • Phone: 515-699-5413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License Number126373
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: