Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY WAYNE MATTOCKS JR., PT
ActiveMR. LARRY WAYNE MATTOCKS JR., PT is a Physical Therapy Assistant healthcare provider located in HERMITAGE, Pennsylvania. NPI 1588644546 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HERMITAGE, PA
Registration Details
- NPI Number
- 1588644546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2006 (20.535701901231 yrs)
- Last Updated
- May 19, 2008
- License
-
PT007303L (PA)
Practice Information
- Address
-
1599 NORTH HERMITAGE RDHERMITAGE, PA, 16148Browse PA providers · Browse ZIP 16148
- Phone
- 7249627920
- Fax
- 7249626029
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HERMITAGE, PA
| Name | Credential | NPI |
|---|---|---|
| LEROY S. CLARK | PT | 1073518122 |
| MRS. JENNIFER RENEE FERTIG | M.P.T. | 1275534372 |
| ERIN C SCHIRF | PT | 1710966932 |
| MR. RICHARD LOUIS HOLZWORTH | PT | 1285614248 |
| MRS. REBECCA LYNN SYERSAK-MURCKO | PT | 1841270808 |
| MRS. KRISTEN JEANELLE PETERSON | PT | 1669452629 |
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.