Individual
MR. MATTHEW BLAINE SALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1860 US HIGHWAY 43, WINFIELD, AL 35594-5062
(205) 395-5003
(205) 395-5004
Mailing address
199 N BROOKMOORE DR, COLUMBUS, MS 39705-2024
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT32390
FL
225100000X
Physical Therapist
Primary
PTH6140
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT32390
PT LICENCE
FL
Enumeration date
07/05/2017
Last updated
03/09/2020
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