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

JEREMY W MATTESON, PT, CSCS

Active Sole Proprietor

JEREMY W MATTESON, PT, CSCS is a Physical Therapy Assistant healthcare provider located in LOS ALAMITOS, California. NPI 1902993462 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LOS ALAMITOS, CA

Registration Details

NPI Number
1902993462
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2006 (19.829743109601 yrs)
Last Updated
Jul 8, 2007
License
PT22434A (CA)
Sole Proprietor
Yes

Practice Information

Address
3662 KATELLA AVE
SUITE 105
LOS ALAMITOS, CA, 907203124
Browse CA providers · Browse ZIP 90720
Phone
5627994494
Fax
5622800304
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LOS ALAMITOS, CA

Name Credential NPI
MR. GEORGE SIDNEY YOUNG MS, DPT, OCS 1891782231
MRS. MARGARET MARY ZIDEK PT 1548281256
DR. CESAR BENEDICT FAJARDO D.P.T. 1346259769
TAMI J PAYNE PT 1497842942
RICHARD P POULSEN MPT, ATC 1659460103
MR. ANDREW RICHARD EINHORN PT 1043370463
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.