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

MATTHEW WADE SULLIVAN, DPT

Active

MATTHEW WADE SULLIVAN, DPT is a Physical Therapy Assistant healthcare provider located in MARYVILLE, Tennessee. NPI 1609240795 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MARYVILLE, TN

Registration Details

NPI Number
1609240795
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2015 (10.703404380742 yrs)
Last Updated
Nov 30, 2015

Practice Information

Address
2318 MARKET PLACE DR
MARYVILLE, TN, 378018704
Browse TN providers · Browse ZIP 37801
Phone
8659843141
Fax
8659843893
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MARYVILLE, TN

Name Credential NPI
MR. JEFFREY GARLAND CHANDLER MS, PT 1952397820
MRS. BETH RENEE RAY P.T. 1306835251
MS. MARY C. CAWTHORN PT 1528019759
DR. LAURA HORVATH GAGNON P.T., PH. D. 1164474706
MRS. TORY LYNNE TOMBERLIN MSPT 1497795850
MS. ANITA CHRISTINE LAWSON PT 1700827367
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.