Healthcare Provider Details

I. General information

NPI: 1811903727
Provider Name (Legal Business Name): SANDRA JOY MATTFELD PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA JOY KLOOS PT

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 VANDERBILT PARK DR
ASHEVILLE NC
28803-1700
US

IV. Provider business mailing address

7 VANDERBILT PARK DR
ASHEVILLE NC
28803-1700
US

V. Phone/Fax

Practice location:
  • Phone: 828-255-7776
  • Fax: 828-255-8794
Mailing address:
  • Phone: 828-255-7776
  • Fax: 828-255-8794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: