Individual
MATT LINEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
905 COLLINWOOD HWY, WAYNESBORO, TN 38485-3859
(931) 332-1700
Mailing address
905 COLLINWOOD HWY, WAYNESBORO, TN 38485-3859
(931) 332-1700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6813
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6813
PHYSICAL THERAPIST ASSISTANT
TN
Enumeration date
03/26/2020
Last updated
03/26/2020
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