MEDICARE: MATTHEW WOOLERY

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
1	225100000X	Physical Therapist	PT70023747	WA

General Provider Information

NPI Number	:	1023998408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW WOOLERY

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	28002 HIGHWAY 410 E
Second Line	:
City	:	BUCKLEY
State	:	WA
Zip	:	98321-7516
Country	:	US
Telephone Number	:	253-444-9003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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Directions to “ MATTHEW WOOLERY ” Practice Location

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