Individual
MATTHEW ADAM WACHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216741
VA
225100000X
Physical Therapist
CP034874T
KY
225100000X
Physical Therapist
CP059499T
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2023
Last updated
08/01/2026
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