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

MR. MATTHEW BROSTROM, MPT, CERT. MDT

Active Sole Proprietor

MR. MATTHEW BROSTROM, MPT, CERT. MDT is a Physical Therapy Assistant healthcare provider located in SOUTH LYON, Michigan. NPI 1356400808 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTH LYON, MI

Registration Details

NPI Number: 1356400808
Provider Type: Individual
Gender: Male
NPI Issued: Dec 8, 2006 (19.500580759531 yrs)
Last Updated: Mar 8, 2011
License: 5501010651 (MI)
Sole Proprietor: Yes

Practice Information

Address: 22180 PONTIAC TRL

STE. E

SOUTH LYON, MI, 481789097
Browse MI providers · Browse ZIP 48178
Phone: 2484460155
Fax: 2484460177
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTH LYON, MI

Name	Credential	NPI
CHRISTIAN WILLIAM ROTH	PT, CHT	1497747323
MR. MATTHEW ALAN NIEMIEC	MPT	1730293945
MR. JEFFERY DAVID ALLEN	PT	1285733089
JILL MARIE SULLIVAN	PHYSICAL THERAPIST	1780755405
BARBARA ANN HERZOG	PT	1942373147
LEAH KIMBERLY KEATING	PHYSICAL THERAPIST	1457426108

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.