Individual
MR. MATTHEW RYAN NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T. DPT
Contact information
Practice address
725 S. DOBSON RD, SUITE 203, CHANDLER, AZ 85224-5679
(480) 807-6500
(480) 897-2700
Mailing address
4858 E BASELINE RD, SUITE 107, MESA, AZ 85206-4638
(480) 807-6500
(480) 897-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10936
AZ
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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