Individual
MATTHEW THOMAS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4420 DIXIE HWY STE 122, SHIVELY, KY 40216-2986
(502) 447-2750
Mailing address
4203 BIG SPRINGS DR, CRESTWOOD, KY 40014-7234
(502) 241-3090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
KY
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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