Individual
MATTHEW MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., DPT
Contact information
Practice address
5006 ATWOOD DR, #2, RICHMOND, KY 40475-8179
(859) 623-2057
Mailing address
5006 ATWOOD DR, #2, RICHMOND, KY 40475-8179
(859) 623-2057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005499
KY
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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