Individual
MATTHEW ROSS MACASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5553
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5553
PHYSICAL THERAPIST
CO
01
—
805608
MEDICARE, OTHER
CO
05
—
81282044
—
CO
Enumeration date
06/02/2006
Last updated
09/23/2015
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