Individual
MATTHEW STULLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2030 HARPER AVE NW, LENOIR, NC 28645-4953
(828) 754-3888
Mailing address
821 BIGGERSTAFF LOOP, NEBO, NC 28761-8773
(828) 460-1716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5827
NC
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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