MEDICARE: MR. MATTHEW JAMES FOSTER MPT

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	5501008812	MI

General Provider Information

NPI Number	:	1538176896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW JAMES FOSTER MPT

Provider Business Mailing Address
First Line	:	1430 N CENTER RD STE 2
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-5581
Country	:	US
Telephone Number	:	989-249-7848
Fax Number	:	989-249-5363

Provider Business Practice Location Address
First Line	:	1430 N CENTER RD STE 2
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48638-5581
Country	:	US
Telephone Number	:	989-249-7848
Fax Number	:	989-249-5363

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	11/04/2015

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Directions to “ MR. MATTHEW JAMES FOSTER MPT” Practice Location

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