Individual
MATTHEW JAMES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 W 86TH ST, INDIANAPOLIS, IN 46260-2257
(317) 688-7660
(317) 580-0107
Mailing address
1609 CHURCHMAN AVE, INDIANAPOLIS, IN 46203-2919
(765) 516-4581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05015127A
IN
Other
Enumeration date
06/08/2023
Last updated
09/25/2024
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