Individual
MR. MATTHEW NOAH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12955 OLD MERIDIAN ST STE 101, CARMEL, IN 46032
(317) 819-6600
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009428A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201002990
—
IN
Enumeration date
01/21/2008
Last updated
05/29/2018
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