Individual
DR. MATTHEW RYAN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Mailing address
3280 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024314
PA
Other
Enumeration date
03/24/2015
Last updated
05/14/2025
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