Individual
MATTHEW JOHN WESTCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT,OCS,ATC,MBA
Contact information
Practice address
1765 OLD WEST BROAD ST, ATHENS, GA 30606-2853
(706) 549-1663
(706) 546-8792
Mailing address
1765 OLD WEST BROAD ST BLDG 2-200, ATHENS, GA 30606-2887
(706) 549-1663
(706) 546-8792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6387
SC
225100000X
Physical Therapist
Primary
PT011778
GA
2255A2300X
Athletic Trainer
RT004164
PA
Other
Enumeration date
08/09/2007
Last updated
04/28/2022
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