Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT BONANDER LLC
Active OrganizationMATT BONANDER LLC is a Physical Therapy Assistant organization located in KRUM, Texas. NPI 1154074201 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KRUM, TX
Registration Details
- NPI Number
- 1154074201
- Provider Type
- Organization
- NPI Issued
- Jan 29, 2022 (4.5310006281368 yrs)
- Last Updated
- Oct 1, 2024
Practice Information
- Address
-
4118 HERDSMAN DRKRUM, TX, 762491556Browse TX providers · Browse ZIP 76249
- Phone
- 9405358105
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.