Individual
MR. MATT JOHN ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
350 THOMAS MORE PKWY, STE 130, CRESTVIEW HILLS, KY 41017-5465
(859) 578-7000
Mailing address
7567 CENTRAL PARKE BLVD, MASON, OH 45040-6852
(513) 701-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-009584
OH
2251X0800X
Orthopedic Physical Therapist
Primary
4066
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214940
—
OH
01
—
P00604756
MEDICARE RAILROAD
OH
Enumeration date
03/14/2006
Last updated
02/07/2017
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