Individual
MATTHEW WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
116 MERIDIAN WAY STE 9, RICHMOND, KY 40475-2876
(859) 626-3131
Mailing address
1012 DOE MEADOW CT, LEXINGTON, KY 40509-2064
(713) 305-1614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007696
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100629730
—
KY
Enumeration date
09/10/2010
Last updated
01/17/2023
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