Individual
MATTHEW ALBERT ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2718 E 57TH AVE, SPOKANE, WA 99223-6605
(509) 252-2354
Mailing address
2718 E 57TH AVE, SPOKANE, WA 99223-6605
(509) 252-2354
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00008943
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010157485
REGENCE BLUE SHIELD
ID
01
—
0211510
WASHINGTON L & I
WA
01
—
PT516
BLUE CROSS OF IDAHO
ID
Enumeration date
10/11/2006
Last updated
05/11/2020
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