Broussard, Matthew
Broussard, Matthew is an individual health care provider with primary practice located at 8230 Spanish Fort Blvd Ste 400 , Spanish Fort AL 36527-5246. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Broussard, Matthew can be contacted via phone (423) 238-7217.Contact Information
Primary practice address
8230 Spanish Fort Blvd Ste 400
Spanish Fort AL 36527-5246
Phone: (423) 238-7217
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTH7433 | Alabama |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 8656 | Tennessee |
Profile Details
| NPI number | 1114247574 |
|---|---|
| LBN Legal business name | Broussard, Matthew |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2010 |
| Last updated | Dec 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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