Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MATTSON, C.C.P.
Active Sole ProprietorKENNETH MATTSON, C.C.P. is a Orthotic Fitter healthcare provider located in NORTH PORT, Florida. NPI 1568878148 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · NORTH PORT, FL
Registration Details
- NPI Number
- 1568878148
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2014 (12.079426382212 yrs)
- Last Updated
- Jul 3, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1764 SCARLETT AVENORTH PORT, FL, 342899476Browse FL providers · Browse ZIP 34289
- Phone
- 9414561121
- Primary Specialty
-
Orthotic Fitter
242T00000X
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.