Individual
MATTHEW THOMAS LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
402 LAKE CASCADE PKWY, CASCADE, ID 83611-7702
(208) 382-3862
Mailing address
PO BOX 1330, CASCADE, ID 83611-1330
(208) 382-3862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61368551
WA
Other
Enumeration date
11/08/2022
Last updated
06/20/2025
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