Individual
MATTHEW TAYLOR GRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
112 REPUBLIC AVE, SUITE E, LAFAYETTE, LA 70508-6863
(337) 988-7777
(337) 988-7720
Mailing address
112 REPUBLIC AVE, SUITE E, LAFAYETTE, LA 70508-6863
(337) 988-7777
(337) 988-7720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08131
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08131
LOUISIANA STATE BOARD OF PHYSICAL THERAPY EXAMINERS
LA
Enumeration date
07/18/2011
Last updated
07/18/2011
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