Individual
MATTHEW PAUL ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 MARKET ST APT 727, DENVER, CO 80205-2069
(239) 595-4876
Mailing address
2200 MARKET ST APT 727, DENVER, CO 80205-2069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012346
CO
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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