Individual
MATTHEW BLAKE SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8868 RESEARCH BLVD STE 601, AUSTIN, TX 78758-8521
(512) 615-3000
Mailing address
10524 SCHOOL HOUSE LN, AUSTIN, TX 78750-1730
(859) 221-2574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2163944
TX
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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