Individual
MATTHEW FANSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
10670 PARKSIDE DR STE 106, KNOXVILLE, TN 37922-1906
(865) 671-4466
Mailing address
10670 PARKSIDE DR STE 106, KNOXVILLE, TN 37922-1906
(865) 671-4466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16063
TN
225100000X
Physical Therapist
9675
SC
Other
Enumeration date
06/04/2019
Last updated
09/30/2025
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