Individual
ERIK MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
408 HAZEN ST, PAW PAW, MI 49079-1019
(269) 657-1390
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005374
MI
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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