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NPI Code Detail

MEDICARE: MATTHEW ESTEVE PT,DPT

MEDICARE: MATTHEW ESTEVE 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 Therapist60650849WA

General Provider Information

NPI Number : 1710339122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW ESTEVE PT,DPT
Provider Business Mailing Address
First Line : 2213 WILTON ST
Second Line :
City : MARRERO
State : LA
Zip : 70072-5147
Country : US
Telephone Number : 504-931-7343
Fax Number :
Provider Business Practice Location Address
First Line : 22415 68TH AVE S
Second Line :
City : KENT
State : WA
Zip : 98032-2444
Country : US
Telephone Number : 253-395-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2016
Last Update Date : 07/09/2016

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Directions to “ MATTHEW ESTEVE PT,DPT” Practice Location

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