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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW BROUSSARD, PT, DPT

Active

Physical Therapy Assistant · SPANISH FORT, AL

Registration Details

NPI Number
1114247574
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2010 (15.867205815389 yrs)
Last Updated
Dec 16, 2021
Licenses
PTH7433 (AL)
8656 (TN)

Practice Information

Address
8230 SPANISH FORT BLVD STE 400
SPANISH FORT, AL, 365275246
Browse AL providers · Browse ZIP 36527
Phone
4232387217
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SPANISH FORT, AL

Name Credential NPI
MRS. ASHLEY DEANN ROWELL RPT 1255525960
MR. DANIEL SCOTT ADAMS P.T. 1831419407
ROBERT DAVE LAZARINE PT 1013258508
SARA S STRINGFELLOW 1992181150
DAVID MICHALOVE PT 1770082232
MACKENZIE COGHLAN GOOCH 1104440007
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.