Individual
MATTHEW NICHOLAS SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2005 AEROPLAZA DR, COLORADO SPRINGS, CO 80916-4207
(719) 425-7771
Mailing address
6637 MAPLE STONE LN, COLORADO SPRINGS, CO 80927-4045
(217) 248-2063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013839
CO
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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