Individual
MATTHEW THOMAS MYMERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(970) 479-7275
Mailing address
PO BOX 40000, VAIL, CO 81658-7520
(970) 479-7275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9692
CO
Other
Enumeration date
08/15/2011
Last updated
01/26/2022
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