Henry, Matthew Thomas

Henry, Matthew Thomas is an individual health care provider with primary practice located at 3051 Watson Blvd , Warner Robins GA 31093-8536. 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. Henry, Matthew Thomas can be contacted via phone (478) 953-4563.

Contact Information

Primary practice address
3051 Watson Blvd Warner Robins GA 31093-8536
Phone: (478) 953-4563
Fax: (478) 953-4564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008256 Georgia

Profile Details

NPI number 1285632596
LBN Legal business name Henry, Matthew Thomas
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Aug 10th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285632596 NPPES
Georgia MEDICAID 720012670A

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