Individual
DR. ROBERT EDWARD MATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12935 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 228-5552
(502) 228-5542
Mailing address
12935 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 228-5552
(502) 228-5542
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5232
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50031233
PASSPORT GROUP ID
KY
01
—
50031234
PASSPORT INDIVIDUAL ID NUMBER
KY
05
—
7100137280
—
KY
01
—
P100015199
MEDICARE PTAN GROUP
KY
01
—
P400015200
MEDICARE PTAN INDIVIDUAL
KY
Enumeration date
03/22/2010
Last updated
09/15/2025
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