Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW DWAYNE BLICK, PHYSICAL THERAPIST
ActiveMATTHEW DWAYNE BLICK, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in SHEPHERD, Michigan. NPI 1750809455 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHEPHERD, MI
Registration Details
- NPI Number
- 1750809455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2017 (8.9194916762416 yrs)
- Last Updated
- May 15, 2025
- License
-
5501018295 (MI)
Practice Information
- Address
-
331 E WRIGHT AVESHEPHERD, MI, 488838065Browse MI providers · Browse ZIP 48883
- Phone
- 9895671300
- Fax
- 9895671301
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.