Individual
KIMBERLY W MATTHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2138 SPRING ST STE C, PASO ROBLES, CA 93446-1454
(805) 712-2875
Mailing address
PO BOX 2666, PASO ROBLES, CA 93447-2666
(805) 712-2875
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
17751
CA
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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