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

MATTHEW JAMES BAUDENDISTEL, DPT

Active Sole Proprietor

MATTHEW JAMES BAUDENDISTEL, DPT is a Physical Therapy Clinic healthcare provider located in CARMICHAEL, California. NPI 1639624497 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · CARMICHAEL, CA

Registration Details

NPI Number
1639624497
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2016 (9.7906150375661 yrs)
Last Updated
Aug 22, 2016
License
291948 (CA)
Sole Proprietor
Yes

Practice Information

Address
3609 MISSION AVE
SUITE C
CARMICHAEL, CA, 956082955
Browse CA providers · Browse ZIP 95608
Phone
9164874681
Primary Specialty
Physical Therapy Clinic
261QP2000X
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.