Individual
MATTHEW ROBERT KINBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
974 SW VETERANS WAY STE 4, REDMOND, OR 97756-2564
(541) 504-5363
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65658
OR
225100000X
Physical Therapist
PT61532891
WA
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/05/2024
Last updated
04/28/2025
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