Individual
MATTHEW WILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2412 KNOB CREEK RD, JOHNSON CITY, TN 37604-2586
(423) 930-9001
Mailing address
2412 KNOB CREEK RD, JOHNSON CITY, TN 37604-2586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12172
TN
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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